NPIMap

Individual provider Active NPI

Andrew Smith, MD

  • Allergy & Immunology Physician
  • Sandy, UT
National Provider Identifier
1164468955
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
8771272-1205 Issued in UT
Practice address
7390 S Creek Rd Ste 201
Sandy, UT 84093-6123
Phone
(801) 263-8700
Fax
(801) 263-8693
NPI assigned
Jun 21, 2006
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35084855 OH
Allergy & Immunology Physician 207K00000X 8771272-1205 UT Primary

Addresses

Primary practice location

7390 S Creek Rd Ste 201
Sandy, UT 84093-6123

Mailing address

6095 S Fashion Blvd Ste 100
Murray, UT 84107-7377
Phone (801) 263-8700

Other identifiers 4

IdentifierTypeStateIssuer
0409999OtherUNITED
000000351769OtherANTHEM
659345OtherAETNA
283621OtherAMERIGROUP

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
I20141124000489 UT Practitioner - Allergy/Immunology 0648236679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Northwestern University Feinberg Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy Associates of Utah PCGroup PAC ID 5496036139, 2 clinicians

Practice addresses (Care Compare)

6095 S Fashion Blvd
Suite 100
Murray, UT 84107-7377
Phone (801) 263-8700

7390 S Creek Rd
Suite 201
Sandy, UT 84093-6123
Phone (801) 263-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as apm
Quality
80.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8771272-1205UTMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Heart and Vascular Center, Inc Past Accepting new patients
The Christ Hospital Cardiovascular Associates LLC Past Accepting new patients

Organizations & group practices 3

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 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1164468955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 S FASHION BLVD STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077377",
            "telephone_number": "801-263-8700",
            "fax_number": "801-263-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 S CREEK RD STE 201",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840936123",
            "telephone_number": "801-263-8700",
            "fax_number": "801-263-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35084855",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "UT",
            "license": "8771272-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "0409999",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000351769",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "659345",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "283621",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.