NPIMap

Individual provider Active NPI

Richard Dane Meredith, MD

  • Cardiovascular Disease Physician
  • Salt Lake City, UT
National Provider Identifier
1518303569
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
13150074-1205 Issued in UT
Practice address
5171 S Cottonwood St Ste 400
Salt Lake City, UT 84107-5742
Phone
(801) 507-3500
NPI assigned
May 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 13150074-1205 UT Primary

Addresses

Primary practice location

5171 S Cottonwood St Ste 400
Salt Lake City, UT 84107-5742

Mailing address

5171 S Cottonwood St Ste 400
Salt Lake City, UT 84107-5742
Phone (801) 507-3500

Other identifiers 1

IdentifierTypeStateIssuer
1518303569MedicaidNC

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
I20230623000632 UT Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8820310725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2013
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)

5169 S Cottonwood St
Suite 520
Murray, UT 84107-6756
Phone (801) 507-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince May 15, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince May 15, 2023 Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Ihc Health Services Inc Family Medicine Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3741 W 12600 S
Ste 160A
Riverton, UT 84065

5169 S Cottonwood St
Ste 520
Salt Lake City, UT 84107
Phone (801) 507-3555

8 Th Ave C St
Salt Lake City, UT 84143
Phone (801) 408-5482

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

9450 S 1300 E
Sandy, UT 84094
Phone (801) 501-2133

Organizations & group practices 5

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 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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1518303569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075742",
            "telephone_number": "801-507-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841075742",
            "telephone_number": "801-507-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "RICHARD",
        "middle_name": "DANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-17",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "13150074-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518303569",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.