Individual provider Active NPI

Prathima Ramaprasad, M.D.

  • Internal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1346521101
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
799754-1205 Issued in UT
Practice address
1200 E 3900 S
South Salt Lake City
Salt Lake City, UT 84124-1300
Phone
(801) 809-0641
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD2018-0878 NM
Internal Medicine Physician 207R00000X 799754-1205 UT Primary
Hospitalist Physician 208M00000X 799754-1205 UT

Addresses

Primary practice location

1200 E 3900 S
South Salt Lake City
Salt Lake City, UT 84124-1300

Mailing address

PO Box 741073
Los Angeles, CA 90074-1073
Phone (844) 207-4039

Other practice location 1

5505 S 900 E Ste 240
Murray, UT 84117-7210
Phone (801) 783-5011

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
I20130419000105 UT Practitioner - Internal Medicine 9638315500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Regional Hospitalists LLCGroup PAC ID 4789807165, 119 clinicians

Practice addresses (Care Compare)

1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 783-5011

Hospital & facility affiliations

  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
  • Timpanogos Regional Hospital Hospital, Orem, UT, CCN 460052
  • Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017
  • St Marks Hospital Inpatient rehabilitation facility, Salt Lake City, UT, CCN 46T047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
799754-1205UTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Jul 5, 2015 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Jul 5, 2015 Accepting new patients

Locations

111 W Telegraph St
Ste 200
Carson City, NV 89703
Phone (775) 222-0044

11925 S State St
Draper, UT 84020
Phone (801) 545-8000

5505 S 900 E
Ste 240
Murray, UT 84117
Phone (801) 406-9601

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

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

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

Interoperability endpoints

  • Direct secure messaging: pramapra@yourcarecommunity.org

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.

Hospital & facility affiliations 5

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": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1346521101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741073",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741073",
            "telephone_number": "844-207-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 3900 S",
            "address_2": "SOUTH SALT LAKE CITY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241300",
            "telephone_number": "801-809-0641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 S 900 E Ste 240",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841177210",
            "country_code": "US",
            "telephone_number": "801-783-5011",
            "fax_number": "801-746-3734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMAPRASAD",
        "first_name": "PRATHIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NM",
            "license": "MD2018-0878",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "799754-1205",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "799754-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.