NPIMap

Individual provider Active NPI

Alireza Falahati-Nini, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Salt Lake City, UT
National Provider Identifier
1417989971
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
48480791205 Issued in UT
Practice address
470 E 3900 S
Suite 200
Salt Lake City, UT 84107
Phone
(801) 747-2800
Fax
(801) 747-5222
NPI assigned
Jul 7, 2006
Last updated
Jun 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 48480791205 UT Primary

Addresses

Primary practice location

470 E 3900 S
Suite 200
Salt Lake City, UT 84107

Mailing address

470 E 3900 S
Suite 200
Salt Lake City, UT 84107
Phone (801) 747-2800

Other identifiers 1

IdentifierTypeStateIssuer
1417989971MedicaidUT

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
I20040913000890 UT Practitioner - EndocrinologyPractitioner - Internal Medicine 7810964517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utah Endocrinology Associates PLLCGroup PAC ID 0042399172, 7 clinicians

Practice addresses (Care Compare)

470 E 3900
Suite 200
Salt Lake City, UT 84107-2332
Phone (801) 747-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48480791205UTMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Endocrinology Associates PLLC Endocrinology, Diabetes & Metabolism CurrentSince Apr 21, 2008 Accepting new patients
Aleracare of Utah Inc Past Accepting new patients
Tanner Memorial Clinic Past Accepting new patients

Locations

60 N 1100 E
American Fork, UT 84003
Phone (801) 747-2800

470 E 3900 S
Ste 200
Salt Lake Cty, UT 84107
Phone (801) 747-2800

5327 Adams Avenue Pkwy
Ste A
Washington Terrace, UT 84405
Phone (801) 747-2800

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1417989971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 E 3900 S",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-747-2800",
            "fax_number": "801-747-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E 3900 S",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-747-2800",
            "fax_number": "801-747-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALAHATI-NINI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "UT",
            "license": "48480791205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417989971",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.