Individual provider Active NPI

Girish Kalva, M.D

  • Internal Medicine Physician
  • Holladay, UT
National Provider Identifier
1821059544
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5637572-1205 Issued in UT
Practice address
5058 South, Moray CT
Holladay, UT 84117-3200
Phone
(801) 913-7590
Fax
(801) 272-6109
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 5637572-1205 UT
Internal Medicine Physician 207R00000X 5637572-1205 UT Primary

Addresses

Primary practice location

5058 South, Moray CT
Holladay, UT 84117-3200

Mailing address

5058 South, Moray CT
Holladay, UT 84117-3200
Phone (801) 913-7590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 16, 2024 through Dec 16, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5637572-1205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Utah, Inc Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1821059544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5058 SOUTH, MORAY CT",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841173200",
            "telephone_number": "801-913-7590",
            "fax_number": "801-272-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5058 SOUTH, MORAY CT",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841173200",
            "telephone_number": "801-913-7590",
            "fax_number": "801-272-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALVA",
        "first_name": "GIRISH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "5637572-1205",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "5637572-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.