Active NPI
Konstantyn Y. Szwajkun, M.D.
- Interventional Cardiology Physician
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 188315-1205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508849191 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Wayne State University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Ashley Regional Medical Center
- Intermountain Medical Center
- University of Utah Hospital and Clinics
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188315-1205 | UT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Group of Utah Inc | Specialist | Current | Accepting new patients |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Physician Group of Utah Inc | Cardiovascular Disease | Current | 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.
-
- Prescribing (Medical) Psychologist
- West Valley City, UT
- NPI 1942903562
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Layton, UT
- NPI 1760185581
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Cardiovascular Disease Physician
- Rock Springs, WY
- NPI 1982223848
-
- Neurological Surgery Physician
- Lakewood, CO
- NPI 1205846664
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vernal, UT
- NPI 1447296249
-
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1487734976
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1588656870
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.