Individual provider Active NPI

Nitin B Chandramouli, MD

  • Medical Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1801845730
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
374569-1205 Issued in UT
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
107011545101OtherUTSELECT 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204000397 UT Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 5193620920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
University of Iowa, RJ & L Carver College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Cancer Specialists PCGroup PAC ID 1355254749, 48 clinicians

Practice addresses (Care Compare)

3838 S 700
Suite 100
Salt Lake City, UT 84106-1494
Phone (801) 269-0231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
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

LicenseStateTypeSpecialty
374569-1205UTMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Mar 8, 2016 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Mar 8, 2016 Accepting new patients
Utah Cancer Specialists PC Hematology & Oncology CurrentSince Dec 1, 2003 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Utah Cancer Specialists PC Hematology & Oncology PastSince Nov 30, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.