Individual provider Active NPI

Ravi Sajjan Rajendra

  • Orthopaedic Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1811573249
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
14278992-1205 Issued in UT
Practice address
590 S Wakara Way RM A0058
Salt Lake City, UT 84108-1200
Phone
(801) 587-5457
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 14278992-1205 UT Primary

Addresses

Primary practice location

590 S Wakara Way RM A0058
Salt Lake City, UT 84108-1200

Mailing address

590 S Wakara Way RM A0058
Salt Lake City, UT 84108-1200
Phone (801) 587-5457

Other practice location 1

1542 Tulane Avenue
Box T6-7
New Orleans, LA 70112-2865
Phone (334) 450-5776

Other practice location 2

5249 Magazine St
New Orleans, LA 70115-1851
Phone (334) 450-5776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20210615003738 LA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 5890195655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14278992-1205UTMDOrthopaedic Surgery Physician

Interoperability endpoints

  • Direct secure messaging: rrajendra4399534@direct.casso.us.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1811573249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 S WAKARA WAY RM A0058",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081200",
            "telephone_number": "801-587-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 S WAKARA WAY RM A0058",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081200",
            "telephone_number": "801-587-5457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Tulane Avenue",
            "address_2": "Box T6-7",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122865",
            "country_code": "US",
            "telephone_number": "334-450-5776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5249 Magazine St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701151851",
            "country_code": "US",
            "telephone_number": "334-450-5776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJENDRA",
        "first_name": "RAVI",
        "middle_name": "SAJJAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "14278992-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.