Active NPI
Reza Nasrollahzadeh, DO
- Sleep Medicine (Internal Medicine) Physician
- Salt Lake City, UT
National Provider Identifier
1053013680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- 14283601-1204
- Practice address
- 30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112 - Phone
- (801) 408-3617
- NPI assigned
- Mar 20, 2023
- 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 |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 14283601-1204 | UT | Primary |
Addresses
Primary practice location
30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112
Mailing address
30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112
Phone (801) 408-3617
Other practice location 1
10175 Gateway Blvd W Ste 140
El Paso, TX 79925-7618
Phone (915) 283-3953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230623000280 | TX | Order and Referring Only - Internal Medicine | 6305204371 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Palmas del Sol Internal Medicine, PLLC | Current | Accepting new patients |
Locations
10175 Gateway Blvd W
Ste 140
El Paso, TX 79925
Phone (915) 218-8828
10175 Gateway Blvd W
Ste 300
El Paso, TX 79925
Phone (915) 218-8828
Interoperability endpoints
- reza.nasrollahzadeh@hca8.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1629560818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1053013680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MARIO CAPECCHI DR RM 3N100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-408-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MARIO CAPECCHI DR RM 3N100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-408-3617"
}
],
"practiceLocations": [
{
"address_1": "10175 Gateway Blvd W Ste 140",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799257618",
"country_code": "US",
"telephone_number": "915-283-3953",
"fax_number": "915-283-3954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASROLLAHZADEH",
"first_name": "REZA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "UT",
"license": "14283601-1204",
"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 Jul 22, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.