NPIMap

Organization Active NPI

Mountainstar Cardiovascular Services LLC

Doing business as MountainStar Cardiovascular Surgery

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Salt Lake City, UT
National Provider Identifier
1689721219
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC
Doing business as
MountainStar Cardiovascular Surgery
Practice address
1160 E 3900 S
Suite 3500
Salt Lake City, UT 84124-1202
Phone
(801) 743-4750
Fax
(801) 743-4765
NPI assigned
Jan 4, 2007
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Louis Joseph
Title
VP
Phone
(615) 373-7630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU Primary

Addresses

Primary practice location

1160 E 3900 S
Suite 3500
Salt Lake City, UT 84124-1202

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4525
Phone (615) 373-7406

Other identifiers 1

IdentifierTypeStateIssuer
1689721219MedicaidUT

Other names 1

  • MountainStar Cardiovascular Surgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070309000071 UT Part B Supplier - Clinic/Group Practice 1951404110 Receives reassigned benefits from 15 practitioners
Practice locations: Salt Lake City, UT; South Salt Lake, UT; Payson, UT; Orem, UT; Ogden, UT; Layton, UT; Bountiful, UT

National Provider Directory

National Provider Directory

Locations

425 E 5350 S
Ste 405
Ogden, UT 84405
Phone (801) 476-6900

5405 S 500 E
Ste 100B
Ogden, UT 84405
Phone (801) 476-6900

5405 S 500 E
Ste 200
Ogden, UT 84405
Phone (801) 476-6900

698 W 800 N
#210
Orem, UT 84057
Phone (801) 262-5711

698 W 800 N
Ste 444
Orem, UT 84057
Phone (801) 714-6412

750 W 800 N
Ste 210
Orem, UT 84057
Phone (801) 714-6412

1160 E 3900 S
Ste 3500
Salt Lake Cty, UT 84124
Phone (801) 476-6900

1160 E 3900 S
Ste 2000
Slc, UT 84124
Phone (801) 266-3418

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1689721219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-373-7406",
            "fax_number": "866-346-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "SUITE 3500",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241202",
            "telephone_number": "801-743-4750",
            "fax_number": "801-743-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7630"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689721219",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MountainStar Cardiovascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MountainStar Cardiovascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.