Individual provider Active NPI

Roger L Borchardt, MD

  • Cardiovascular Disease Physician
  • Lehi, UT
National Provider Identifier
1386637833
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08749100 Issued in NJ
Practice address
3000 N Triumph Blvd, Ste 330
Wasatch Cardiovascular Services
Lehi, UT 84043-4999
Phone
(801) 753-4711
NPI assigned
Aug 30, 2005
Last updated
Oct 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5123441205 UT
Cardiovascular Disease Physician 207RC0000X 25MA08749100 NJ Primary

Addresses

Primary practice location

3000 N Triumph Blvd, Ste 330
Wasatch Cardiovascular Services
Lehi, UT 84043-4999

Mailing address

144 S 500 E
Salt Lake City, UT 84102-1907
Phone (801) 463-7415

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
I20051115001145 UT Practitioner - Cardiovascular Disease (Cardiology) 1850310103 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5123441205UTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Utah Inc CurrentSince Oct 8, 2019 Accepting new patients
Emergency Physicians Integrated Care, LLC CurrentSince Jan 1, 2016 Accepting new patients
Via Christi Regional Medical Center Past Accepting new patients
Via Christi Hospitals Wichita, Inc Past Accepting new patients
Associates for Inpatient Medicine, LLC Past Accepting new patients

Locations

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

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

3000 N Triumph Blvd
Ste 320
Lehi, UT 84043
Phone (801) 753-4600

3000 N Triumph Blvd
Ste 330
Lehi, UT 84043
Phone (385) 345-3560

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

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

3584 W 9000 S
Ste 209
West Jordan, UT 84088
Phone (801) 676-3776

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1386637833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021907",
            "telephone_number": "801-463-7415",
            "fax_number": "801-463-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD, STE 330",
            "address_2": "WASATCH CARDIOVASCULAR SERVICES",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434999",
            "telephone_number": "801-753-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHARDT",
        "first_name": "ROGER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "5123441205",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08749100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.