MATTHEW J. FULLER M.D. – NPI #1396060406
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

MATTHEW FULLER is a physician located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1396060406 to MATTHEW FULLER on March 31, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on May 13, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MATTHEW FULLER below.

NPI Profile for
MATTHEW J. FULLER

NPI Number
1396060406
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MATTHEW J. FULLER
Credentials
M.D.
Primary location
UNIVERSITY OF UTAH HOSPITAL
SALT LAKE CITY, UT 84132-0001
Phone: (801) 581-2121 Fax:
1 Other location(s):
900 Round Valley Dr
Park City, UT 84060-7552
Phone: (435) 658-7000
Mailing address
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
May 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
UT 8140847-1205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.2019.3
Content Type
OTHER
Affiliation
Y
Endpoint Location
1300 SE CARDINAL CT STE 190,
VANCOUVER, WA 77025-1669

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
Y
Endpoint Location
50 N MEDICAL DR,
SALT LAKE CITY, UT 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
MATTHEW FULLER is affiliated with the following medical group(s):
  • HOSPITAL
    • UNIVERSITY OF UTAH HOSPITALS AND CLINICS
      50 NORTH MEDICAL DRIVE
      SALT LAKE CITY, UT 84132

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.