Western Peaks Physician Group

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

WESTERN PEAKS PHYSICIAN GROUP

Practice address

1219 E Browning Ave
Salt Lake City, UT 84105-2525

Phone

(917) 589-3056

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

Aidin Iravani, MDNPI 1639405129

Title

Managing Member

Phone

(917) 589-3056

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aidin Iravani, M.D.

  • Pulmonary Disease Physician
  • Elmira, NY
  • NPI 1639405129

  UT

  Medicare reassignment Care Compare group NPD Authorized official
• Gregory D Hammond, MD

  • Pulmonary Disease Physician
  • Midvale, UT
  • NPI 1942374020
  Medicare reassignment Care Compare group NPD
• Wei Peng, M.D.

  • Pulmonary Disease Physician
  • Salt Lake City, UT
  • NPI 1295831865
  Medicare reassignment Care Compare group NPD
• Chakravarthy B Reddy, MD

  • Pulmonary Disease Physician
  • Salt Lake City, UT
  • NPI 1508962176
  Medicare reassignment Care Compare group NPD
• Sikandar Abbas Ansari, M.D.

  • Pulmonary Disease Physician
  • Milwaukee, WI
  • NPI 1740470731

  UT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1134725500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58412",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841580412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 E BROWNING AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052525",
            "telephone_number": "917-589-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1887 E Charleston Ln",
            "address_purpose": "LOCATION",
            "city": "Holladay",
            "state": "UT",
            "postal_code": "841211315",
            "country_code": "US",
            "telephone_number": "917-589-3056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN PEAKS PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "IRAVANI",
        "authorized_official_first_name": "AIDIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-589-3056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John S. Westerdahl, MD
• Western Biological Laboratory, Inc.
• Western Neurological Associates Inc
• Western Newborn Specialists
• Western Newborn Specialists
• Western Summit Rehabilitation LLC
• Western Wellness LLC
• Brian Wendell Westfield, APRN
• Karin Ingrid Maria Westlen-Boyer, PT
• Shelley Saling Westlind, RN

• Pulmonary Disease Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pulmonary Disease Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.