Individual provider Active NPI

Tanya K Powel, MD

  • Internal Medicine Physician
  • Sandy, UT
National Provider Identifier
1235265802
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
UT 183278-1205 Issued in UT
Practice address
9350 S 150 E Ste 150
Sandy, UT 84070-2703
Phone
(180) 190-3566
Fax
(180) 198-4828
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UT 183278-1205 UT Primary

Addresses

Primary practice location

9350 S 150 E Ste 150
Sandy, UT 84070-2703

Mailing address

9350 S 150 E Ste 150
Sandy, UT 84070-2703
Phone (180) 190-3566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120216000224 UT Practitioner - Internal Medicine 4789782038 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UT 183278-1205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Utah Inc CurrentSince Jan 19, 2012 Accepting new patients
State of Wyoming PastSince Jan 28, 2024 Accepting new patients

Locations

9350 S 150 E
Ste 150
Sandy, UT 84070
Phone (314) 872-1439

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

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

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1235265802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 S 150 E STE 150",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702703",
            "telephone_number": "180-190-3566",
            "fax_number": "180-198-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 S 150 E STE 150",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702703",
            "telephone_number": "180-190-3566",
            "fax_number": "180-198-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWEL",
        "first_name": "TANYA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "UT 183278-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.