NPIMap

Individual provider Active NPI

Ewa Gniado

  • Endocrinology, Diabetes & Metabolism Physician
  • Ogden, UT
National Provider Identifier
1003221169
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
11004974-1205 Issued in UT
Practice address
4403 Harrison Blvd Ste 3630
Ogden, UT 84403-3287
Phone
(801) 387-7900
Fax
(801) 387-7910
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301105300 MI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 11004974-1205 UT Primary

Addresses

Primary practice location

4403 Harrison Blvd Ste 3630
Ogden, UT 84403-3287

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

3230 Eden Ave Box 670547
Cincinnati, OH 45267-6712
Phone (513) 558-5691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922001767 MI Practitioner - Endocrinology 0749405769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

32255 Northwestern Hwy
Suite 214
Farmington Hills, MI 48334-1573
Phone (248) 855-5620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

32255 Northwestern Hwy
Ste 214
Farmington Hills, MI 48334
Phone (248) 855-5620

30000 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 551-5000

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

Interoperability endpoints

  • Direct secure messaging: egniado1664703@epic00.shdirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1003221169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD STE 3630",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033287",
            "telephone_number": "801-387-7900",
            "fax_number": "801-387-7910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3230 Eden Ave Box 670547",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452676712",
            "country_code": "US",
            "telephone_number": "513-558-5691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GNIADO",
        "first_name": "EWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301105300",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "UT",
            "license": "11004974-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.