Individual provider Active NPI

Scott Adelman, MD

  • Physical Medicine & Rehabilitation Physician
  • Sandy, UT
National Provider Identifier
1750351847
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1844721205 Issued in UT
Practice address
10011 S Centennial Pkwy
Ste 500
Sandy, UT 84070
Phone
(801) 676-7627
Fax
(801) 676-7629
NPI assigned
Jan 23, 2006
Last updated
Mar 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1844721205 UT Primary

Addresses

Primary practice location

10011 S Centennial Pkwy
Ste 500
Sandy, UT 84070

Mailing address

10011 S Centennial Pkwy
Ste 500
Sandy, UT 84070
Phone (801) 676-7627

Other identifiers 1

IdentifierTypeStateIssuer
1316160534OtherUTGROUP NPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040218000896 UT Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Sports Medicine 7517869936 Reassigns benefits to 1 organization
Practice locations: Draper, UT; Park City, UT

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Vermont College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

96 E Kimballs LN
Suite 304
Draper, UT 84020-5021
Phone (801) 676-7627

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1844721205UTMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Medical, Inc. Physical Medicine & Rehabilitation CurrentSince Aug 1, 2001 Accepting new patients
The Smart Clinic Physical Medicine & Rehabilitation PastSince Jan 29, 2023 Accepting new patients

Locations

96 E Kimballs Ln
Ste 304
Draper, UT 84020
Phone (801) 571-9433

10011 S Centennial Pkwy
Ste 150
Sandy, UT 84070
Phone (801) 256-6400

10011 S Centennial Pkwy
Ste 500
Sandy, UT 84070
Phone (801) 268-4999

Interoperability endpoints

  • Direct secure messaging: scottadelman@thesmartclinic.directglo.com

Organizations & group practices 2

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 1

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1750351847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 S CENTENNIAL PKWY",
            "address_2": "STE 500",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84070",
            "telephone_number": "801-676-7627",
            "fax_number": "801-676-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 S CENTENNIAL PKWY",
            "address_2": "STE 500",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84070",
            "telephone_number": "801-676-7627",
            "fax_number": "801-676-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELMAN",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "1844721205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316160534",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.