NPIMap

Individual provider Active NPI

David Kuo, M.D.

  • Internal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1508881640
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4983999-8905 Issued in UT
Practice address
1160 E 3900 South
Suite 1200
Salt Lake City, UT 84124
Phone
(801) 261-9651
Fax
(801) 261-9656
NPI assigned
Jul 12, 2006
Last updated
Apr 1, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4983999-8905 UT Primary

Addresses

Primary practice location

1160 E 3900 South
Suite 1200
Salt Lake City, UT 84124

Mailing address

1160 East 3900 South
Suite 1200
Salt Lake City, UT 84121
Phone (801) 261-9651

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
I20050727000865 UT Practitioner - Internal Medicine 5991733396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utah Physicians Care Centers PCGroup PAC ID 3971404963, 11 clinicians

Practice addresses (Care Compare)

1160 E 3900
Suite 1200
Salt Lake City, UT 84124-1251
Phone (801) 261-9651

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4983999-8905UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Physicians Care Centers PC Internal Medicine CurrentSince Sep 1, 2006 Accepting new patients
Utah Physicians Care Center Internal Medicine Current Accepting new patients

Locations

5630 S Waterbury Way
Ste B102
Salt Lake Cty, UT 84121
Phone (801) 261-9651

1160 E 3900 S
Ste 1200
Slc, UT 84124
Phone (801) 261-9651

Interoperability endpoints

  • Direct secure messaging: david.kuo.1@15147.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15147/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1508881640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 EAST 3900 SOUTH",
            "address_2": "SUITE 1200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-261-9651",
            "fax_number": "801-261-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 SOUTH",
            "address_2": "SUITE 1200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-261-9651",
            "fax_number": "801-261-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "4983999-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.