NPIMap

Individual provider Active NPI

Yogesh Patel, PA-C

  • Physician Assistant
  • Magna, UT
National Provider Identifier
1346765666
Registry record updated Aug 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10514922-1206 Issued in UT
Practice address
3665 S 8400 W
Magna, UT 84044-4907
Phone
(801) 250-9638
NPI assigned
Aug 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 10514922-1206 UT Primary

Addresses

Primary practice location

3665 S 8400 W
Magna, UT 84044-4907

Mailing address

662 W Deepdale CT
Stansbury Park, UT 84074-5593
Phone (480) 388-7256

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address YPATEL589674@DIRECT.MED.UTAH.EDU Direct University of Utah

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107000326 UT Practitioner - Physician Assistant 9133485279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medix West InjuryGroup PAC ID 1759738057, 3 clinicians

Practice addresses (Care Compare)

323 N Main St
Tooele, UT 84074-1652
Phone (435) 315-1111

Merit-based Incentive Payment System (MIPS)

Final score
89.01 of 100Reported as group
Quality
94.06
Promoting interoperability
100
Improvement activities
40
Cost
69.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10514922-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medix West Injury CurrentSince Oct 13, 2023 Accepting new patients
University of Utah Community Physicians Group CurrentSince Jul 15, 2022 Accepting new patients

Locations

58 S Main St
Salt Lake City, UT 84101

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

323 N Main St
Tooele, UT 84074
Phone (435) 233-7900

58 S Main St
Tooele, UT 84074
Phone (435) 233-7900

Interoperability endpoints

  • Direct secure messaging: ypatel589674@direct.med.utah.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/EJCEDD

Organizations & group practices 4

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661644800000",
    "number": "1346765666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 W DEEPDALE CT",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840745593",
            "telephone_number": "480-388-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 S 8400 W",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840444907",
            "telephone_number": "801-250-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "YOGESH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-08-28",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10514922-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "YPATEL589674@DIRECT.MED.UTAH.EDU",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Magna, UT

Sources for this page

Verify at the official NPI Registry.