Individual provider Active NPI

Konstantyn Y. Szwajkun, M.D.

  • Interventional Cardiology Physician
  • Ogden, UT
National Provider Identifier
1508849191
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
188315-1205 Issued in UT
Practice address
425 E 5350 S
Ste 400
Ogden, UT 84405
Phone
(801) 479-0184
Fax
(801) 479-5642
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 188315-1205 UT
Cardiovascular Disease Physician 207RC0000X 188315-1205 UT
Interventional Cardiology Physician 207RI0011X 188315-1205 UT Primary

Addresses

Primary practice location

425 E 5350 S
Ste 400
Ogden, UT 84405

Mailing address

PO Box 741729
Atlanta, GA 30374-1729

Other practice location 1

5405 S 500 E Ste 204
Ogden, UT 84405-7420
Phone (801) 479-0184

Other practice location 2

3570 W 9000 S Ste 110
West Jordan, UT 84088-8870
Phone (801) 263-2370

Other identifiers 1

IdentifierTypeStateIssuer
1508849191MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 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
I20031117000919 UT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 9436063161 Reassigns benefits to 2 organizations
I20171127002260 WY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9436063161

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

3570 W 9000
Suite 100
West Jordan, UT 84088-8871
Phone (801) 903-5620

Hospital & facility affiliations

  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • Ashley Regional Medical Center Hospital, Vernal, UT, CCN 460030
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
188315-1205UTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Utah Inc Specialist CurrentSince Aug 20, 2019 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 18, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 18, 2023 Accepting new patients
Physician Group of Utah Inc Cardiovascular Disease CurrentSince May 1, 2020 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

5405 S 500 E
Ste 204
Ogden, UT 84405
Phone (801) 479-0184

5979 S Fashion Blvd
Salt Lake Cty, UT 84107
Phone (801) 263-0140

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

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

3570 W 9000 S
Ste 110
West Jordan, UT 84088
Phone (208) 201-1249

3570 W 9000 S
Ste 100
West Jordan, UT 84088
Phone (801) 569-1999

3584 W 9000 S
Ste 304
West Jordan, UT 84088
Phone (801) 568-3150

3336 S Pioneer Pkwy
Ste 203
West Valley City, UT 84120
Phone (801) 290-7153

196 Arrowhead Dr
Ste 7
Evanston, WY 82930
Phone (307) 783-8364

196 Arrowhead Dr
Ste 5
Evanston, WY 82930
Phone (307) 783-8364

2751 Commercial Way
Rock Springs, WY 82901
Phone (307) 382-6199

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1508849191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 5350 S",
            "address_2": "STE 400",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-479-0184",
            "fax_number": "801-479-5642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 S 500 E Ste 204",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844057420",
            "country_code": "US",
            "telephone_number": "801-479-0184",
            "fax_number": "801-479-5642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3570 W 9000 S Ste 110",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840888870",
            "country_code": "US",
            "telephone_number": "801-263-2370",
            "fax_number": "801-265-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZWAJKUN",
        "first_name": "KONSTANTYN",
        "middle_name": "Y.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "188315-1205",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "188315-1205",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "UT",
            "license": "188315-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508849191",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.