McKenna L. Coletti, MD
Individual provider Active NPI Vascular Neurology Physician · Salt Lake City, UT
NPI 1861039745 · NPPES record last updated Dec 9, 2025
Key facts
- NPI
- 1861039745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Neurology Physician 2084V0102X
- License
- 12127423-1205 (UT)
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2121
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- University of Utah School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Utah Pediatric Services
Practice addresses (Care Compare)
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone (801) 587-7109
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250108000211 | UT | Practitioner - Pediatric Medicine | 3870907207 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12127423-1205 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Pediatric Services | Pediatrics | Current |
Accepting new patients |
| University of Utah Pediatric Services | Current |
Accepting new patients | |
| University of Utah Pediatric Services | Pediatrics | Current | Accepting new patients |
| Colorado West Healthcare System | Past | Accepting new patients |
Locations
127 S 500 E
Ste 400
Salt Lake City, UT 84102
610 S 200 E
Salt Lake Cty, UT 84111
Phone (385) 468-4225
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
81 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 662-5700
Interoperability endpoints
- mcoletti384250@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | 12127423-1205 | UT | Yes |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 12127423-1205 | UT | |
| Pediatrics Physician | 208000000X | 12127423-1205 | UT |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
50 N Medical Dr
Salt Lake City, UT 84132-0001
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcoletti384250@direct.med.utah.edu | Direct | University of Utah |
Other providers in Salt Lake City, UT
- Nathan Coleman
- Stephen D. Coleman
- Steven Coleman
- Angelique Colemere
- Christine Coles
- Richard Marlin Coley
- Marilyn Colgan
- Jasmine Carolina Colin Rodriguez
- Flor Stephany Colin
- Dominique Colipi
All providers in Salt Lake City, UT · Vascular Neurology Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.