Individual provider Active NPI

Heidi Kapanka, MD

  • Emergency Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1093753774
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
269622-1205 Issued in UT
Practice address
30 N 1900 E
Salt Lake City, UT 84132-1908
Phone
(801) 587-5804
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9906A WY
Emergency Medicine Physician 207P00000X 269622-1205 UT Primary

Addresses

Primary practice location

30 N 1900 E
Salt Lake City, UT 84132-1908

Mailing address

1795 Meadow Creek LN
Ogden, UT 84403-4468
Phone (205) 212-0576

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
I20070502000453 UT Practitioner - Emergency Medicine 4082658950 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

201 W Layton Pkwy
Layton, UT 84041-3692

2400 N Washington Blvd
North Ogden, UT 84414-7233
Phone (435) 792-1770

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9906AWYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Integrated Care, LLC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
University of Utah Community Physicians Group CurrentSince Aug 2, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 6, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
University of Utah Community Physicians Group Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Aug 6, 2018 Accepting new patients
University of Utah Community Physicians Group CurrentSince Aug 2, 2017 Accepting new patients
Trinity Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine Past Accepting new patients
Southern Medical Group, Inc Emergency Medicine Past Accepting new patients
St. Clair Emergency Physicians, LLC. Emergency Medicine Past Accepting new patients
Carraway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Premier Medical Emergency Medicine Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

2400 N Washington Blvd
Ogden, UT 84414
Phone (801) 387-8300

2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911

3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1262

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093753774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 MEADOW CREEK LN",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034468",
            "telephone_number": "205-212-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841321908",
            "telephone_number": "801-587-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPANKA",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "9906A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "269622-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.