Individual provider Active NPI

Yaw Ababio Boateng, M.D.

  • Nephrology Physician
  • Salt Lake City, UT
National Provider Identifier
1477555696
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
9087894-1205 Issued in UT
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

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
344568MedicaidSC
5921024MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
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, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141204000057 UT Practitioner - Nephrology 9335163872 Reassigns benefits to 2 organizations
I20150612000742 NV Practitioner - NephrologyPractitioner - Internal Medicine 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
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

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 Dialysis facility, Hurricane, UT, CCN 462536
  • DaVita Mojave Desert Dialysis Dialysis facility, Mesquite, NV, CCN 292532
  • DaVita Dixie Dialysis Center Dialysis facility, Saint George, UT, CCN 462511
  • DaVita Iron Mission Dialysis Dialysis facility, Cedar City, UT, CCN 462528
  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021
  • Kane County Hospital Hospital, Kanab, UT, CCN 461309
  • Intermountain Health Garfield Memorial Hospital Hospital, Panguitch, UT, CCN 461333
  • Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9087894-1205UTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Mar 4, 2024 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Ihc Health Service Inc CurrentSince Mar 4, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Feb 1, 2015 Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
Hamlet Hma PPM LLC Nephrology Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
Advanced Nephrology Associates, P.C. Nephrology PastSince Aug 13, 1997 Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Nephrology Past Accepting new patients
University of Utah Adult Services Nephrology Past Accepting new patients
University of Utah Adult Services Past Accepting new patients
University of Utah Adult Services Past Accepting new patients

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

  • FHIR API: https://api.platform.athenahealth.com/6481/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 53

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.