NPIMap

Individual provider Active NPI

Sarah Tamara Menacho, M.D.

  • Neurological Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1861645087
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
Q4955 Issued in TX
Practice address
175 North Medical Drive East, 5TH Floor
University of Utah Department of Neurosurgery
Salt Lake City, UT 84132-0001
Phone
(801) 581-6908
NPI assigned
Oct 31, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X Q4955 TX Primary

Addresses

Primary practice location

175 North Medical Drive East, 5TH Floor
University of Utah Department of Neurosurgery
Salt Lake City, UT 84132-0001

Mailing address

175 N. Medical Drive East
5TH Floor
Salt Lake City, UT 84132
Phone (801) 581-6908

Other identifiers 1

IdentifierTypeStateIssuer
347924801 (MDACC)MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgarber41475@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160122001698 UT Practitioner - Neurosurgery 7517198724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Vermont College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Utah Acuity Care ServicesGroup PAC ID 4789908534, 131 clinicians
University of Utah Surgical ServicesGroup PAC ID 6002130481, 43 clinicians

Practice addresses (Care Compare)

175 N Medical Dr
Salt Lake City, UT 84132-5901
Phone (801) 585-7575

175 N Medical Dr
University of Utah Department of NE
Salt Lake City, UT 84132-1103
Phone (801) 585-7575

Hospital & facility affiliations

  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100Reported as group
Quality
72.06
Promoting interoperability
100
Improvement activities
40
Cost
72.92

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
77.8
Promoting interoperability
100
Improvement activities
40
Cost
65.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4955TXMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Surgical Services CurrentSince Dec 23, 2015 Accepting new patients
University of Utah Surgical Services Neurological Surgery CurrentSince Dec 23, 2015 Accepting new patients
University of Utah Surgical Services Current Accepting new patients
University of Utah Acuity Care Services CurrentSince Dec 23, 2015 Accepting new patients
University of Utah Acuity Care Services Current Accepting new patients
University of Utah Acuity Care Services CurrentSince Dec 23, 2015 Accepting new patients

Locations

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

175 N Medical Dr
Slc, UT 84112
Phone (801) 581-6908

Interoperability endpoints

  • Direct secure messaging: sgarber41475@direct.med.utah.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1861645087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N. MEDICAL DRIVE EAST",
            "address_2": "5TH FLOOR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84132",
            "telephone_number": "801-581-6908",
            "fax_number": "801-581-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NORTH MEDICAL DRIVE EAST, 5TH FLOOR",
            "address_2": "UNIVERSITY OF UTAH DEPARTMENT OF NEUROSURGERY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-581-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENACHO",
        "first_name": "SARAH",
        "middle_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "Q4955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347924801 (MDACC)",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgarber41475@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.