Active NPI
Joseph J Albano, M.D.
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Salt Lake City, UT
National Provider Identifier
1003836636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 2693081205
- Practice address
- 6360 S 3000 E
210
Salt Lake City, UT 84121-6923 - Phone
- (385) 220-9009
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | 2693081205 | UT | Primary |
Addresses
Primary practice location
6360 S 3000 E
210
Salt Lake City, UT 84121-6923
Mailing address
PO Box 71547
Salt Lake City, UT 84171-0547
Phone (385) 220-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 31, 2018 through Mar 31, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2693081205 | UT | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Orthopedics & Sports Medicine | Past | Accepting new patients | |
| The Orthopedic Clinic LC | Past | Accepting new patients | |
| Joseph J. Albano, MD, PLLC | Neuromusculoskeletal Medicine, Sports Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Salt Lake City, UT
- NPI 1871098491
Neuromusculoskeletal Medicine, Sports Medicine
-
- Orthopaedic Surgery Physician
- Salt Lake City, UT
- NPI 1710019831
-
- Orthopaedic Surgery Physician
- Murray, UT
- NPI 1033148986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1003836636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71547",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841710547",
"telephone_number": "385-220-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6360 S 3000 E",
"address_2": "210",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216923",
"telephone_number": "385-220-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBANO",
"first_name": "JOSEPH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "UT",
"license": "2693081205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.