William Jackson, M.D.
NPI 1417036088 · Pediatric Gastroenterology Physician · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
William Jackson, M.D. is a Pediatric Gastroenterology Physician provider in Salt Lake City, UT (NPI 1417036088).
Provider details
- NPI number
- 1417036088
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 180909-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Frequently asked questions
- What is William Jackson's NPI number?
- William Jackson's National Provider Identifier (NPI) is 1417036088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is William Jackson's specialty?
- William Jackson is listed in the NPPES registry with a primary specialty of Pediatric Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is William Jackson located?
- William Jackson's practice location on file with NPPES is 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103.
- What is William Jackson's phone number?
- The practice phone number listed in the NPPES registry for William Jackson is (801) 581-2121.
- Does William Jackson accept Medicare?
- William Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is William Jackson's NPI active?
- Yes — William Jackson's NPI (1417036088) is active in the NPPES registry as of the last update on 2021-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.