Active NPI
Miguel Luis Knochel, MD
- Pediatrics Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 60199541205
- Practice address
- 295 S Chipeta Way
Salt Lake City, UT 84108-1287 - Phone
- (801) 587-6336
- NPI assigned
- May 28, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 60199541205 | UT | Primary |
Addresses
Primary practice location
295 S Chipeta Way
Salt Lake City, UT 84108-1287
Mailing address
4128 W Otter Brook Dr
South Jordan, UT 84009-7770
Phone (801) 254-9187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D7224 | Medicaid | UT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mknochel352952@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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60199541205 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Pediatric Services | Current | Accepting new patients | |
| University of Utah Community Physicians Group | Current | Accepting new patients | |
| University of Utah Pediatric Services | Pediatrics | Current | Accepting new patients |
| University of Utah Pediatric Services | Current | Accepting new patients | |
| University of Utah Community Physicians Group | Current | Accepting new patients |
Locations
3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400
1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- mknochel352952@direct.med.utah.edu
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1487018974
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1467241554
-
- Family Medicine Physician
- Park City, UT
- NPI 1053715763
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1124422126
-
- Pediatric Surgery Physician
- Salt Lake City, UT
- NPI 1205290053
-
- Pediatric Infectious Diseases Physician
- Salt Lake City, UT
- NPI 1285098855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1730136243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4128 W OTTER BROOK DR",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840097770",
"telephone_number": "801-254-9187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 S CHIPETA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081287",
"telephone_number": "801-587-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOCHEL",
"first_name": "MIGUEL",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "60199541205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D7224",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mknochel352952@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": []
}
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 Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.