Individual provider Active NPI

Alan Contreras Saldivar, M.D.

  • Surgery Physician
  • Murray, UT
National Provider Identifier
1144470980
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12017804-1205 Issued in UT
Practice address
5171 S Cottonwood St Ste 65012TH
Murray, UT 84107-5704
Phone
(801) 507-9600
Fax
(801) 507-9601
NPI assigned
Sep 30, 2008
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 12017804-8905 UT
Surgery Physician 208600000X 12017804-1205 UT Primary

Addresses

Primary practice location

5171 S Cottonwood St Ste 65012TH
Murray, UT 84107-5704

Mailing address

5171 S Cottonwood St Ste 650
Murray, UT 84107-5716
Phone (801) 507-9600

Other identifiers 1

IdentifierTypeStateIssuer
03198372MedicaidNY

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
I20210219001950 UT Practitioner - General Surgery 6901948884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Canyon Surgical Associates, LLCGroup PAC ID 3779580774, 5 clinicians

Practice addresses (Care Compare)

5171 S Cottonwood St
Suite 650
Murray, UT 84107-5716
Phone (801) 507-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003304NYMDSpecialist
12017804-8905UTMDTransplant Surgery Physician
12017804-1205UTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Surgical Associates, LLC CurrentSince Feb 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Transplant Surgery Past Accepting new patients

Locations

5171 S Cottonwood St
Ste 650
Salt Lake City, UT 84107
Phone (801) 507-9600

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1144470980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 650",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075716",
            "telephone_number": "801-507-9600",
            "fax_number": "801-507-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 65012TH",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075704",
            "telephone_number": "801-507-9600",
            "fax_number": "801-507-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS SALDIVAR",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "UT",
            "license": "12017804-8905",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "12017804-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03198372",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.