Mark Douglas Ebert, MD
Diagnostic Radiology (CMS) · Salt Lake City, UT
At a glance
100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
NPPES record updated Aug 23, 2023. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
100 N Mario Capecchi Dr Dept Of Medical ImagingSalt Lake City, UT 84113-1103
Education & affiliations
- Medical / professional school
- Johns Hopkins University School Of Medicine
- Graduation year
- 2006
- CMS specialties
- Diagnostic Radiology
Practice groups
Reported hospital affiliations
- Primary Children's Hospital Salt Lake City, UT
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Service-mix comparison is unavailable for this NPI in the imported Medicare service file.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Diagnostic Radiology (CMS)
- Taxonomy code
- 2085P0229X
- Enumeration date
- Feb 22, 2007
- Record updated
- Aug 23, 2023
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- MD
Reported taxonomies and licenses
2085P0229X
License reported: M-11694 ID
2085P0229X
License reported: MED-PHYS-LIC-52597 MT
2085P0229X · Primary
License reported: 8209945-1205 UT
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
100 N Mario Capecchi DrDept Of Medical Imaging
Salt Lake City, UT 84113-1103
- Phone
- (801) 875-1586
Mailing address
100 N MARIO CAPECCHI DRDEPT OF MEDICAL IMAGING
SALT LAKE CITY, UT 841131103
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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