Active NPI
Nuwan Meegalla
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Salt Lake City, UT
National Provider Identifier
1093343030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 14276926-1205
- Practice address
- 30 N Mario Capecchi Dr RM 4S200
Salt Lake City, UT 84112 - Phone
- (801) 230-5947
- NPI assigned
- Mar 27, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 14276926-1205 | UT | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 14276926-1205 | UT | Primary |
Addresses
Primary practice location
30 N Mario Capecchi Dr RM 4S200
Salt Lake City, UT 84112
Mailing address
30 N Mario Capecchi Dr RM 4S200
Salt Lake City, UT 84112
Phone (801) 230-5947
Other practice location 1
1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-0423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20200902000910 | NC | Order and Referring Only - General Surgery | 9830516079 |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Wake Forest University School of Medicine, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 299
Salt Lake City, UT 84110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14276926-1205 | UT | MD | Otolaryngology Physician |
Interoperability endpoints
- nmeegalla2756350@carolinashealthcaresystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1093343030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MARIO CAPECCHI DR RM 4S200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-230-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MARIO CAPECCHI DR RM 4S200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-230-5947"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271570001",
"country_code": "US",
"telephone_number": "336-716-0423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEEGALLA",
"first_name": "NUWAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "UT",
"license": "14276926-1205",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "UT",
"license": "14276926-1205",
"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 23, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.