Andrew Bambrough
Individual provider Active NPI Certified Registered Nurse Anesthetist · Salt Lake City, UT
NPI 1215324686 · NPPES record last updated Jan 4, 2022
Key facts
- NPI
- 1215324686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 6248945 (UT)
- Practice address
- 328 W 200 S Apt 308
Salt Lake City, UT 84101-1232 - Phone
- (435) 790-8412
- NPI assigned
- Apr 22, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Utah Gastroenterology LLC
Practice addresses (Care Compare)
6360 S 3000
Suite 310
Salt Lake City, UT 84121-6939
Phone (801) 944-3188
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.77 of 100
- Quality
- 91.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.42
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM, UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150921001659 | NM | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5496062663 | Reassigns benefits to 3 organizations |
| I20210419002116 | UT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5496062663 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6248945 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPH Anesthesia of Utah, LLC | Current |
Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Main Street Anesthesia of New Mexico, LLC | Current |
Accepting new patients | |
| Utah Gastroenterology, LLC | Current |
Accepting new patients | |
| Resource Anesthesiology Associates of NM Inc | Current |
Accepting new patients | |
| Anesthesia Associates of New Mexico P C | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Utah Gastroenterology | Current |
Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| Utah Gastroenterology LLC | Past | Accepting new patients |
Locations
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1525 E 6000 S
South Ogden, UT 84405
Phone (801) 337-5800
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Interoperability endpoints
- https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 6248945 | UT | Yes |
Addresses
Primary practice location
328 W 200 S Apt 308
Salt Lake City, UT 84101-1232
Mailing address
328 W 200 S Apt 308
Salt Lake City, UT 84101-1232
Phone (435) 790-8412
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abambrough552956@direct.med.utah.edu | Direct | University of Utah |
Other providers in Salt Lake City, UT
- Sydney Rebekah Dawson Ballstaedt
- Maria Pia Balmaceda Nieto
- Kami Balmforth
- Sara Anne Balte
- Marie Dufresne Bambo
- Michele Bamgartner
- Himabindu Bandaru
- David Bandbaz
- Trisha Lynn Bandeka-Bennett
- Daniel Edmund Banellis
All providers in Salt Lake City, UT · Certified Registered Nurse Anesthetist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.