Active NPI
Aatqa Memon
- Neurology Physician
- Salt Lake City, UT
National Provider Identifier
1194475723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 14281235-1205
- Practice address
- 175 N Medical Dr RM 5001
Salt Lake City, UT 84112-1103 - Phone
- (801) 585-7575
- NPI assigned
- Mar 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 14281235-1205 | UT | Primary |
Addresses
Primary practice location
175 N Medical Dr RM 5001
Salt Lake City, UT 84112-1103
Mailing address
175 N Medical Dr RM 5001
Salt Lake City, UT 84112-1103
Phone (801) 585-7575
Other practice location 1
500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220815002851 | PA | Order and Referring Only - Internal Medicine | 3375926991 |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 299
Salt Lake City, UT 84110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14281235-1205 | UT | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1194475723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N MEDICAL DR RM 5001",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841121103",
"telephone_number": "801-585-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N MEDICAL DR RM 5001",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841121103",
"telephone_number": "801-585-7575"
}
],
"practiceLocations": [
{
"address_1": "500 University Dr",
"address_purpose": "LOCATION",
"city": "Hershey",
"state": "PA",
"postal_code": "170332360",
"country_code": "US",
"telephone_number": "800-243-1455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEMON",
"first_name": "AATQA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-26",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "UT",
"license": "14281235-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.