Active NPI
Yaw Ababio Boateng, M.D.
- Nephrology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 9087894-1205
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0100 - Phone
- (801) 581-6709
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 9087894-1205 | UT | Primary |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0100
Mailing address
PO Box 413033
Salt Lake City, UT 84141-3033
Phone (801) 213-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344568 | Medicaid | SC | |
| 5921024 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | yboateng129870@direct.med.utah.edu | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141204000057 | UT | Practitioner - Nephrology | 9335163872 | Reassigns benefits to 2 organizations |
| I20150612000742 | NV | Practitioner - Nephrology | 9335163872 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1490 E Foremaster Dr
Suite 350
St George, UT 84790-4507
Phone (435) 251-5980
Hospital & facility affiliations
- DaVita Hurricane Dialysis
- DaVita Mojave Desert Dialysis
- DaVita Dixie Dialysis Center
- DaVita Iron Mission Dialysis
- Intermountain Health Cedar City Hospital
- St. George Regional Hospital
- Kane County Hospital
- Intermountain Health Garfield Memorial Hospital
- Mesa View Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9087894-1205 | UT | MD | Nephrology Physician |
Practice roles
Locations
247 Bluffs Ave
Ste 102
Elko, NV 89801
Phone (775) 369-2799
6 Steptoe Cir
Ely, NV 89301
Phone (775) 289-3001
1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270
350 Falcon Ridge Pkwy
Ste 700
Mesquite, NV 89027
Phone (435) 673-3556
350 Falcon Ridge Pkwy
Ste 104
Mesquite, NV 89027
Phone (435) 673-3556
166 W 1325 N
Ste 350
Cedar City, UT 84721
Phone (435) 586-8192
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1490 E Foremaster Dr
Ste 350
St George, UT 84790
Phone (435) 251-5980
544 S 400 E
St George, UT 84770
Phone (435) 688-4000
Interoperability endpoints
- https://api.platform.athenahealth.com/6481/brand/1/csg/1/fhir/r4
- yboateng129870@direct.med.utah.edu
Organizations & group practices 53
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.
-
- Clinical Cardiac Electrophysiology Physician
- Ely, NV
- NPI 1891172458
NV
-
- Family Medicine Physician
- Ephraim, UT
- NPI 1013058395
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Clinical Genetics (M.D.) Physician
- Salt Lake City, UT
- NPI 1508222167
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Vascular Surgery Physician
- Salt Lake City, UT
- NPI 1720482532
-
- Otolaryngology Physician
- Salt Lake City, UT
- NPI 1003210808
-
- Infectious Disease Physician
- Salt Lake City, UT
- NPI 1033513833
-
- Ophthalmology Physician
- Salt Lake City, UT
- NPI 1033513957
-
- Pulmonary Disease Physician
- Salt Lake City, UT
- NPI 1093119893
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cedar City, UT
- NPI 1336248855
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hurricane, UT
- NPI 1699438556
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Mesquite, NV
- NPI 1093478950
Dialysis facility
-
- Family Medicine Physician
- Kanab, UT
- NPI 1215001037
Hospital
-
- Critical Access Hospital
- Kanab, UT
- NPI 1740519370
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1477555696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 413033",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841413033",
"telephone_number": "801-213-3900",
"fax_number": "801-585-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320100",
"telephone_number": "801-581-6709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOATENG",
"first_name": "YAW",
"middle_name": "ABABIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "UT",
"license": "9087894-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344568",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5921024",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "yboateng129870@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": "841320100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.