Mark Douglas Ebert, MD
Pediatric Radiology Physician · Salt Lake City, UT
Mark Douglas Ebert, MD is a pediatric radiology physician with a practice address in Salt Lake City, Utah, and NPI 1609901610, issued on Feb 22, 2007. Check the license (Utah 8209945-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Mark Douglas Ebert
- Credential
- MD
- Primary taxonomy
- Pediatric Radiology Physician 2085P0229X
- License numbers
- 8209945-1205 UT
M-11694 ID
MED-PHYS-LIC-52597 MT
Self-reported in NPPES; status is on the state search - Practice location
- 100 N Mario Capecchi Dr, Salt Lake City, UT 84113
- Phone
- (801) 875-1586
- Enumerated
- Feb 22, 2007
- Record last updated
- Aug 23, 2023
- Medicare enrollment
- Enrolled (PECOS I20120720000594); accepts Medicare assignment
- Medical or professional school
- Johns Hopkins University School Of Medicine, 2006
- Entity
- Type 1 · individual
8 nearest pediatric radiology physician records → All 18 in Utah → Look up another NPI →
Also registered at 100 N Mario Capecchi Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Minda Abbaszadeh, APRNNurse Practitioner1881851756
- Avery Alexander, DPTPhysical Therapist1043942097
- Tracey Allen, NNP-BCNurse Practitioner1447511407
- Clara Altemus, OTROccupational Therapist1912403650
- Stefanie Ames, M.D.Pediatric Critical Care Medicine Physician1912273269
- Abby Anderson, CPNPNurse Practitioner1528733912
Verify Mark Douglas Ebert in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 8209945-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Ihc Health Services IncSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark Douglas Ebert among 18 pediatric radiology physician records in Utah
Mark Douglas Ebert, MD is one of 18 pediatric radiology physician records with a practice address in Utah. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 67% of them.
- NPI issued2007 · 67% of these records are older, 17% newer
- In a Medicare fileYes · 67% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2006 · median 2002 among the 11 with a school on file
- Record last updated2023 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085P0229X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Radiology Physician providers in Utah
There are 18 pediatric radiology physician records in Utah.
All 18 in Utah → Every provider in Salt Lake City → Pediatric Radiology Physician nationwide →
The 8 pediatric radiology physician records with the nearest ZIP codes
- Ryan Arnold, M.D.Salt Lake City, UT 841131730394131
- Richard Boyer, MDSalt Lake City, UT 841131033229182
- David Dansie, M.D.Salt Lake City, UT 841131043296403
- Giosue Feola, MDSalt Lake City, UT 841131447351978
- Gary Hedlund, DOSalt Lake City, UT 841131154422681
- Karin Hoeg, MDSalt Lake City, UT 841131215940465
- Michael Katz, MDSalt Lake City, UT 841131861463390
- Constance Maves, MDSalt Lake City, UT 841131063513596
Common questions
What is Mark Douglas Ebert, MD's NPI number?
Mark Douglas Ebert, MD's National Provider Identifier (NPI) is 1609901610, issued on Feb 22, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Mark Douglas Ebert, MD located?
The NPPES record lists a practice address at 100 N Mario Capecchi Dr, Salt Lake City, UT, 84113. Phone: (801) 875-1586. Providers update this record themselves, so call before visiting.
How can I verify Mark Douglas Ebert, MD's license?
NPPES lists Utah license number 8209945-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.