NPIMap

Individual provider Active NPI

Mark A. Rada, M.D.

  • Internal Medicine Physician
  • Sandy, UT
National Provider Identifier
1770515140
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
364209-8905 Issued in UT
Practice address
8074 S 1300 E
Sandy, UT 84094-0743
Phone
(801) 565-6500
Fax
(801) 565-6600
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 364209-8905 UT Primary

Addresses

Primary practice location

8074 S 1300 E
Sandy, UT 84094-0743

Mailing address

PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000812 UT Practitioner - Internal MedicinePractitioner - General Practice 1052212040 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arizona College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group LLCGroup PAC ID 6204199086, 26 clinicians

Practice addresses (Care Compare)

306 W River Bend LN
Provo, UT 84604-5625
Phone (801) 226-8880

5825 Harrison Blvd
South Ogden, UT 84403-4316
Phone (801) 475-5254

Hospital & facility affiliations

  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
  • Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
  • Timpanogos Regional Hospital Hospital, Orem, UT, CCN 460052
  • Utah Valley Specialty Hospital Inpatient rehabilitation facility, Provo, UT, CCN 46TA05
  • Utah Valley Specialty Hospital Long-term care hospital, Provo, UT, CCN 462005

Merit-based Incentive Payment System (MIPS)

Final score
61.24 of 100Reported as group
Quality
58.16
Promoting interoperability
0
Improvement activities
40
Cost
62.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
364209-8905UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Regional Hospitalists LLC CurrentSince Mar 6, 2015 Accepting new patients
Wasatch Post-Acute Services CurrentSince Sep 1, 2023 Accepting new patients
Impact Physician Group, LLC Internal Medicine CurrentSince Mar 11, 2024 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Mar 6, 2015 Accepting new patients
Claris Health PLLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Utah Physicians Care Centers PC Internal Medicine Past Accepting new patients
University of Utah Hospitals and Clinics Internal Medicine Past Accepting new patients
Utah Physicians Care Center Internal Medicine Past Accepting new patients

Locations

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

55 S Professional Way
Payson, UT 84651
Phone (801) 465-9211

3419 W 12600 S
Riverton, UT 84065
Phone (801) 446-8400

8074 S 1300 E
Sandy, UT 84094
Phone (801) 561-3400

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

1371 W South Jordan Pkwy
South Jordan, UT 84095
Phone (801) 253-1370

5825 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-5254

306 W River Bend Ln
Sundance, UT 84604
Phone (801) 226-5838

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15147/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1770515140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110307",
            "telephone_number": "801-294-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8074 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840940743",
            "telephone_number": "801-565-6500",
            "fax_number": "801-565-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADA",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "364209-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.