Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mikhail Shipotko, MD

Individual provider Internal Medicine Physician · NPI 1003217977

Mikhail Shipotko, MD is a Hospitalist in Ogden, Utah. Qualified in 2007, 19 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Texas and Utah.

Years since qualifying
19
Licensed in
TX, UT
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4401 Harrison Blvd
Ogden, UT 84403-3195
Phone: (801) 387-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 13523114-1235 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence R2744 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003217977
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 10, 2014
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address4401 Harrison Blvd, Ogden, UT 84403-3195

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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