Individual provider Active NPI

David Klein, MD

  • Pulmonary Disease Physician
  • Salt Lake City, UT
National Provider Identifier
1124075437
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
335920-1205 Issued in UT
Practice address
82 S 1100 E Ste 200
Salt Lake City, UT 84102-1889
Phone
(801) 263-2370
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 335920-1205 UT
Pulmonary Disease Physician 207RP1001X 335920-1205 UT Primary

Addresses

Primary practice location

82 S 1100 E Ste 200
Salt Lake City, UT 84102-1889

Mailing address

PO Box 800022
Kansas City, MO 64180-0022

Other practice location 1

1220 E 3900 S Ste 2C
Salt Lake City, UT 84124-1319
Phone (801) 263-2482

Other identifiers 6

IdentifierTypeStateIssuer
107055541101OtherUTSELECTHEALTH
33592012000001OtherUTREGENCE BLUE CROSS
91683OtherUTPEHP
22039OtherUTUNIVERSITY OF UTAH
298380OtherUTALTIUS
P00364972OtherUTRAILROAD MEDICARE

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
I20070208000132 UT Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0143121582 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Colorado School of Medicine, Denver, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

3584 W 9000
Suite 401
West Jordan, UT 84088-5712
Phone (801) 290-7156

Hospital & facility affiliations

  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • Holy Cross Hospital - Salt Lake Hospital, Salt Lake City, UT, CCN 460003
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2023 Accepting new patients
Physician Group of Utah Inc CurrentSince Aug 20, 2019 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2023 Accepting new patients
Scenic Way LLC CurrentSince Aug 11, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Madison Medical Affiliates, Inc. Past Accepting new patients
Physician Group of Utah Inc Past Accepting new patients

Locations

5097 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 576-1455

4252 S Birkhill Blvd
Salt Lake City, UT 84107
Phone (385) 425-0050

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

82 S 1100 E
Ste 200
Salt Lake City, UT 84102
Phone (801) 290-7152

5979 S Fashion Blvd
Salt Lake Cty, UT 84107
Phone (801) 263-0140

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3584 W 9000 S
Ste 401
West Jordan, UT 84088
Phone (801) 243-2596

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

196 Arrowhead Dr
Ste 5
Evanston, WY 82930
Phone (307) 783-8364

2751 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-6199

Networks

  • UT PPO
  • UT PPO D-SNP

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1124075437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S 1100 E STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021889",
            "telephone_number": "801-263-2370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 E 3900 S Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841241319",
            "country_code": "US",
            "telephone_number": "801-263-2482",
            "fax_number": "801-263-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "UT",
            "license": "335920-1205",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "335920-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTHEALTH",
            "identifier": "107055541101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS",
            "identifier": "33592012000001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "91683",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF UTAH",
            "identifier": "22039",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "298380",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00364972",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.