Active NPI
James P Kushner, M.D.
- Internal Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1578513842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 151632-1205
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2121
- NPI assigned
- May 10, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 151632-1205 | UT | Primary |
| Hematology (Internal Medicine) Physician | 207RH0000X | 151632-1205 | UT | |
| Hematology & Oncology Physician | 207RH0003X | 151632-1205 | UT | |
| Hematology (Pathology) Physician | 207ZH0000X | 151632-1205 | UT | |
| Anatomic Pathology Physician | 207ZP0101X | 151632-1205 | UT |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 581700
Salt Lake City, UT 84158-1700
Phone (801) 581-2121
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04211 | Medicaid | UT | |
| 000052900 | Medicaid | ID | |
| 0032793 | Medicaid | MT | |
| 107005274101 | Other | IHC # 870442845 | |
| 36608 | Other | DMBA # 870442845 | |
| PRA03743 | Other | MOLINA # 870442845 | |
| 002088532 | Medicaid | NV | |
| 870442845KU1 | Other | EMIA # 870442845 | |
| 107005274H04 | Other | IHC HUNTSMAN # 870442845 | |
| 111157015 | Other | UT | RAILROAD MEDICARE |
| 3000011 | Other | UNITED HEALTH CARE # | |
| 122118300 | Medicaid | WY | |
| 1882 | Other | UNIVERSITY HEALTH PLANS # | |
| 1894 | Other | PEHP # 870442845 | |
| QM0000022835 | Other | ALTIUS # 870442845 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151632-1205 | UT | MD | Hematology (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1578513842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 581700",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841581700",
"telephone_number": "801-581-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-581-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHNER",
"first_name": "JAMES",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "151632-1205",
"primary": true
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "UT",
"license": "151632-1205",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "UT",
"license": "151632-1205",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "UT",
"license": "151632-1205",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "UT",
"license": "151632-1205",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04211",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000052900",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0032793",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC # 870442845",
"identifier": "107005274101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA # 870442845",
"identifier": "36608",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA # 870442845",
"identifier": "PRA03743",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002088532",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMIA # 870442845",
"identifier": "870442845KU1",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC HUNTSMAN # 870442845",
"identifier": "107005274H04",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "111157015",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE #",
"identifier": "3000011",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122118300",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLANS #",
"identifier": "1882",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP # 870442845",
"identifier": "1894",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS # 870442845",
"identifier": "QM0000022835",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.