Individual provider Active NPI

Ruben Melvin Swerdlow Lesnick, MD

  • Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1053947085
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
14275593-1205 Issued in UT
Practice address
1250 E 3900 S Ste 320
Salt Lake City, UT 84124-1350
Phone
(801) 263-1621
Fax
(801) 263-1647
NPI assigned
Mar 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14275593-1205 UT Primary
Colon & Rectal Surgery Physician 208C00000X 14275593-1205 UT

Addresses

Primary practice location

1250 E 3900 S Ste 320
Salt Lake City, UT 84124-1350

Mailing address

1250 E 3900 S Ste 320
Salt Lake City, UT 84124-1350
Phone (801) 263-1621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260528003190 UT Order and Referring Only - Colorectal Surgery (Proctology)Practitioner - Colorectal Surgery (Proctology) 4385044551

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML61163570WAMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1053947085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241350",
            "telephone_number": "801-263-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241350",
            "telephone_number": "801-263-1621",
            "fax_number": "801-263-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESNICK",
        "first_name": "RUBEN",
        "middle_name": "MELVIN SWERDLOW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-21",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "14275593-1205",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "UT",
            "license": "14275593-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.