NPIMap

Individual provider Active NPI

Nathan Kwok

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
National Provider Identifier
1144753971
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
10979097-1205 Issued in UT
Practice address
30 N 1900 E # 1A071
Salt Lake City, UT 84132-2742
Phone
(801) 581-2121
NPI assigned
Apr 8, 2017
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 10979097-1205 UT Primary

Addresses

Primary practice location

30 N 1900 E # 1A071
Salt Lake City, UT 84132-2742

Mailing address

50 N Medical Dr
Salt Lake City, UT 84132-0001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NKWOK293248@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706002462 UT Practitioner - Diagnostic Radiology 1850669961 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green River Radiology PCGroup PAC ID 5294123063, 23 clinicians
Tooele Valley Imaging LLCGroup PAC ID 2466624630, 24 clinicians
Utah Imaging Associates IncGroup PAC ID 1355394537, 45 clinicians
Wasatch Imaging LLCGroup PAC ID 7012949522, 16 clinicians

Practice addresses (Care Compare)

12842 S 3600
Suite 100
Riverton, UT 84065-6853
Phone (385) 253-4586

2356 N 400
Suite 103
Tooele, UT 84074-3409
Phone (435) 882-1674

6243 S Redwood Rd
Suite 130
Taylorsville, UT 84123-6408
Phone (801) 869-5630

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 299-2220

729 King St
Suite 100
Layton, UT 84041-4681
Phone (801) 563-0333

9844 S 1300
Suite 175
Sandy, UT 84094-4688
Phone (801) 576-1290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10979097-1205UTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
Tanner Memorial Clinic Current Accepting new patients
Tanner Memorial Clinic Family Medicine CurrentSince Feb 12, 2025 Accepting new patients
Green River Radiology, P.C. Diagnostic Radiology CurrentSince Nov 19, 2023 Accepting new patients
Tanner Memorial Clinic CurrentSince Feb 12, 2025 Accepting new patients
University of Utah Adult Services CurrentSince Jun 1, 2022 Accepting new patients
University of Utah Adult Services Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Wasatch Imaging LLC CurrentSince Sep 15, 2024 Accepting new patients
Tooele Valley Imaging, LLC CurrentSince Sep 28, 2023 Accepting new patients

Locations

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

630 E 1400 N
Logan, UT 84341
Phone (435) 258-9598

12842 S 3600 W
Ste 100
Riverton, UT 84065
Phone (385) 253-4586

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

9844 S 1300 E
Ste 175
Sandy, UT 84094
Phone (801) 576-1290

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

2356 N 400 E
Ste 103
Tooele, UT 84074
Phone (435) 882-1674

Interoperability endpoints

  • Direct secure messaging: nkwok293248@direct.med.utah.edu

Organizations & group practices 10

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 6

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": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1144753971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E # 1A071",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322742",
            "telephone_number": "801-581-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-08",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "10979097-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NKWOK293248@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.