NPIMap

Individual provider Active NPI

Chakravarthy B Reddy, MD

  • Pulmonary Disease Physician
  • Salt Lake City, UT
National Provider Identifier
1508962176
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
5216385-1205 Issued in UT
Practice address
26 N 1900 E
701, Wintrobe Building
Salt Lake City, UT 84132-0002
Phone
(801) 581-7806
Fax
(801) 585-3355
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 52163851205 UT
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 5216385-1205 UT
Hospitalist Physician 208M00000X 5216385-1205 UT
Pulmonary Disease Physician 207RP1001X 5216385-1205 UT Primary

Addresses

Primary practice location

26 N 1900 E
701, Wintrobe Building
Salt Lake City, UT 84132-0002

Mailing address

4486 S Gilead Way
Salt Lake City, UT 84124-4016
Phone (801) 671-4803

Other identifiers 1

IdentifierTypeStateIssuer
1508962176MedicaidUT

Other names 1

  • Srinivas B Chakravarthy Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address creddy23266@direct.med.utah.edu Direct UNIVERSITY OF UTAH

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
I20041216000839 UT Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 1456318807 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians
Western Peaks Physician GroupGroup PAC ID 4183036874, 5 clinicians
University of Utah Acuity Care ServicesGroup PAC ID 4789908534, 131 clinicians

Practice addresses (Care Compare)

1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500
Phone (801) 581-2121

485 E 500
Bountiful, UT 84010-3801
Phone (702) 964-1525

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995

Hospital & facility affiliations

  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Lakeview Hospital Hospital, Bountiful, UT, CCN 460042
  • Salt Lake Specialty Hospital Long-term care hospital, Murray, UT, CCN 462004

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100Reported as group
Quality
72.06
Promoting interoperability
100
Improvement activities
40
Cost
72.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52163851205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Acuity Care Services CurrentSince Jul 1, 2015 Accepting new patients
Western Peaks Physician Group Pulmonary Disease CurrentSince Dec 10, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Silverton Group LLC Hospitalist CurrentSince Oct 22, 2009 Accepting new patients
University of Utah Acuity Care Services CurrentSince Jul 1, 2015 Accepting new patients
Bronson Lakeview Hospital Internal Medicine Past Accepting new patients
Monitoring Associates LLC Past Accepting new patients
South Tulsa Medical Group LLC Internal Medicine Past Accepting new patients

Locations

485 E 500 S
Bountiful, UT 84010
Phone (801) 295-2361

4252 S Birkhill Blvd
Salt Lake City, UT 84107
Phone (385) 425-0050

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

Interoperability endpoints

  • Direct secure messaging: creddy23266@direct.med.utah.edu

Organizations & group practices 10

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 5

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1508962176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 S GILEAD WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244016",
            "telephone_number": "801-671-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 N 1900 E",
            "address_2": "701, WINTROBE BUILDING",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-581-7806",
            "fax_number": "801-585-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "CHAKRAVARTHY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "52163851205",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "UT",
            "license": "5216385-1205",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "5216385-1205",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "5216385-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508962176",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "creddy23266@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": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SRINIVAS",
            "last_name": "CHAKRAVARTHY",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.