Cori Ann Agarwal, M.D.
Individual provider Active NPI Plastic Surgery Physician · Salt Lake City, UT
NPI 1306978960 · NPPES record last updated Oct 16, 2021
Key facts
- NPI
- 1306978960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- A93767 (CA)
- Practice address
- Division of Plastic Surgery Administrative Office
30 North 1900 East 3B205
Salt Lake City, UT 84132-0001 - Phone
- (801) 585-6839
- Fax
- (801) 581-5794
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of Hawaii John a. Burns School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Utah Adult Services
Practice addresses (Care Compare)
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121
50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995
Hospital & facility affiliations
- University of Utah Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.77 of 100
- Quality
- 91.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070906000605 | UT | Practitioner - Pediatric Medicine |
1052404001 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93767 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Pediatric Services | Current | Accepting new patients | |
| University of Utah Pediatric Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Pediatric Services | Current |
Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
Interoperability endpoints
- cagarwal49620@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A93767 | CA | Yes |
Addresses
Primary practice location
Division of Plastic Surgery Administrative Office
30 North 1900 East 3B205
Salt Lake City, UT 84132-0001
Mailing address
Division of Plastic Surgery Administrative Office
30 North 1900 East 3B205
Salt Lake City, UT 84132-0001
Phone (801) 585-6839
Other names
- Dr. Cori Ann Buscher
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cagarwal49620@direct.med.utah.edu | Direct | University of Utah |
Other providers in Salt Lake City, UT
- Miquela Afshar
- Brittany Afu
- Aminat Olayinka Agaba
- Zara Agadjanian
- Archana Mishra Agarwal
- Jayant Prasad Agarwal
- Neeraj Agarwal
- Tejita Agarwal
- Mary Kathleen K. Agarwala
- Tara Rose Agee
All providers in Salt Lake City, UT · Plastic Surgery Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2021. 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.
- Order and Referring (CMS).
- 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.