Individual provider Active NPI

Saeed Abbaszadeh, PA-C

  • Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1720003544
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57536731206 Issued in UT
Practice address
1950 Circle of Hope Dr
Huntsman Cancer Hospital: HCH-4
Salt Lake City, UT 84112-5500
Phone
(801) 587-4413
NPI assigned
Jul 13, 2006
Last updated
Nov 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 57536731206 UT Primary

Addresses

Primary practice location

1950 Circle of Hope Dr
Huntsman Cancer Hospital: HCH-4
Salt Lake City, UT 84112-5500

Mailing address

3394 Crestwood Dr
SLC, UT 84109-3202
Phone (801) 708-1635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000181 UT Practitioner - Physician Assistant 5890724496 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Acuity Care Services CurrentSince Sep 5, 2015 Accepting new patients
University of Utah Acuity Care Services CurrentSince Sep 5, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Sep 5, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Sep 5, 2015 Accepting new patients
Joseph R. Watkins MD PC PastSince Aug 1, 2004 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: saeed.abbaszadeh.1@13794.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1720003544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 CRESTWOOD DR",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841093202",
            "telephone_number": "801-708-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 CIRCLE OF HOPE DR",
            "address_2": "HUNTSMAN CANCER HOSPITAL: HCH-4",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125500",
            "telephone_number": "801-587-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASZADEH",
        "first_name": "SAEED",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "57536731206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.