NPIMap

Individual provider Active NPI

David Jacob Fjeldsted, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • West Jordan, UT
National Provider Identifier
1225349525
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
8907923-1205 Issued in UT
Practice address
3580 W 9000 S
West Jordan, UT 84088-8812
Phone
(801) 561-8888
NPI assigned
Jul 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 8907923-1205 UT Primary

Addresses

Primary practice location

3580 W 9000 S
West Jordan, UT 84088-8812

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 288-8325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150218000899 UT Practitioner - Pathology 3072838986 Reassigns benefits to 3 organizations
I20250731004165 CO Practitioner - Pathology 3072838986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Saint Louis University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional DiagnosticsGroup PAC ID 0648202820, 2 clinicians
Mountain States Pathology PCGroup PAC ID 4284616293, 16 clinicians

Practice addresses (Care Compare)

1050 E S Temple
Salt Lake City, UT 84102-1507
Phone (801) 350-4851

1600 W Antelope Dr
Layton, UT 84041-1142
Phone (801) 807-1000

2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (719) 776-5816

3000 N Triumph Blvd
Lehi, UT 84043-4999
Phone (801) 641-0073

3580 W 9000
Jordan Valley Hospital
West Jordan, UT 84088-8812
Phone (801) 561-8888

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
Mountain States Pathology PC Anatomic Pathology & Clinical Pathology CurrentSince Jun 17, 2025 Accepting new patients
Professional Diagnostics CurrentSince Jul 1, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
Mountain States Pathology PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 22, 2025 Accepting new patients

Locations

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

5700 Southwyck Blvd
Toledo, OH 43614

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000

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

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Organizations & group practices 6

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

Hospital & facility affiliations 8

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1225349525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888812",
            "telephone_number": "801-561-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FJELDSTED",
        "first_name": "DAVID",
        "middle_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "8907923-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.