Utah Kidney Institute, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

UTAH KIDNEY INSTITUTE, LLC

Practice address

4345 Harrison Blvd Ste 101
Ogden, UT 84403-3103

Phone

(385) 350-8500

Fax

(385) 350-8555

NPI assigned

Oct 8, 2019

Last updated

Jan 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amandeep Singh Chadha, MDNPI 1881635845

Title

Manager

Phone

(801) 809-4425

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27381/brand/1/csg/1/fhir/r4

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amandeep Singh Chadha, MD

  • Nephrology Physician
  • Ogden, UT
  • NPI 1881635845
  Medicare reassignment NPD Authorized official
• Melanie Ann Young

  • Family Nurse Practitioner
  • Ogden, UT
  • NPI 1184324600
  Medicare reassignment NPD
• Ryan P McDonald, MD

  • Nephrology Physician
  • Layton, UT
  • NPI 1194915561
  NPD (past)
• Trevor Reed Smith, MD

  • Nephrology Physician
  • Logan, UT
  • NPI 1700143930
  NPD (past)

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1891336194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4287 HARRISON BLVD # 156",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033101",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 HARRISON BLVD STE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033103",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH KIDNEY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "CHADHA",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-809-4425",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah Emergnecy Physicians
• Utah Hematology Oncology
• Utah Hematology Oncology PC
• Utah Hematology Oncology PC
• Utah Kidney Clinic LLC
• Utah Pain & Rehab LLC
• Utah Pain and Rehab Chiro
• Utah Pain Management PC
• Utah Peak Healthcare
• Utah Schools for the Deaf and the Blind

• Nephrology Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Nephrology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.