Active NPI
Nitin B Chandramouli, MD
- Medical Oncology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 374569-1205
- Practice address
- 3838 S 700 E
Suite 100
Salt Lake City, UT 84106-1466 - Phone
- (801) 269-0231
- Fax
- (801) 269-0304
- NPI assigned
- May 8, 2006
- Last updated
- Oct 10, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 374569-1205 | UT | |
| Medical Oncology Physician | 207RX0202X | 374569-1205 | UT | Primary |
Addresses
Primary practice location
3838 S 700 E
Suite 100
Salt Lake City, UT 84106-1466
Mailing address
1121 E 3900 S
Ste C240
Salt Lake City, UT 84124-2202
Phone (801) 266-0878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107011545101 | Other | UT | SELECT HEALTH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3838 S 700
Suite 100
Salt Lake City, UT 84106-1494
Phone (801) 269-0231
Hospital & facility affiliations
- Intermountain Medical Center
- St Mark's Hospital
- Mountain West Medical Center
- Lone Peak Hospital
- LDS Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.89 of 100
- Quality
- 77.34
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 77.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374569-1205 | UT | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Utah Cancer Specialists PC | Hematology & Oncology | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Utah Cancer Specialists PC | Hematology & Oncology | Past | Accepting new patients |
Locations
48 N 1100 E
Ste B
American Fork, UT 84003
Phone (801) 492-9934
520 Medical Dr
Ste 340
Bountiful, UT 84010
Phone (801) 296-6665
1492 W Antelope Dr
Ste 125
Layton, UT 84041
Phone (801) 525-3022
5131 S Cottonwood St
Ste L2
Murray, UT 84107
Phone (801) 263-3416
1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119
1121 E 3900 S
Ste C230
Salt Lake City, UT 84124
389 S 900 E
Ste 100
Salt Lake City, UT 84102
Phone (385) 282-2125
1121 E 3900 S
Ste C240
Salt Lake Cty, UT 84124
3838 S 700 E
Ste 100
Salt Lake Cty, UT 84106
Phone (801) 269-0231
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
5770 S 250 E
Ste 135
Salt Lake Cty, UT 84107
Phone (801) 263-3416
1250 E 3900 S
Ste 30
Slc, UT 84124
Phone (801) 266-0878
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095
1244 N Main St
Ste 101
Tooele, UT 84074
Phone (435) 249-0007
2326 N 400 E
Ste 204
Tooele, UT 84074
Phone (435) 882-2365
3592 W 9000 S
Ste 200
West Jordan, UT 84088
Phone (801) 562-8732
4052 W Pioneer Pkwy
Ste 101
West Valley City, UT 84120
Phone (801) 967-1000
Interoperability endpoints
- nchandramouli@utahcancer.direct.varian.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Utah Cancer Specialists
- Medical Oncology Physician
- Salt Lake City, UT
- NPI 1619925369
Hematology & Oncology
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
dba University of Utah Hospital Infectious Disease Division
- Infectious Disease Physician
- Salt Lake City, UT
- NPI 1033513833
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
dba Utah Cancer Specialists
- Non-Pharmacy Dispensing Site
- Salt Lake City, UT
- NPI 1912058942
Hematology & Oncology
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Intermountain Medical Center
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
dba Intermountain Health LDS Hospital
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
-
dba Lone Peak Hospital
- General Acute Care Hospital
- Draper, UT
- NPI 1770821571
-
dba St. Mark's Hospital
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
-
dba Mountain West Medical Center
- General Acute Care Hospital
- Tooele, UT
- NPI 1124090659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1801845730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 E 3900 S",
"address_2": "STE C240",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841242202",
"telephone_number": "801-266-0878",
"fax_number": "801-266-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 S 700 E",
"address_2": "SUITE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061466",
"telephone_number": "801-269-0231",
"fax_number": "801-269-0304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRAMOULI",
"first_name": "NITIN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "UT",
"license": "374569-1205",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "UT",
"license": "374569-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "107011545101",
"state": "UT"
}
],
"endpoints": [],
"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 Oct 10, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.