Carole A Baraldi, MD
Individual provider Active NPI Internal Medicine Physician · SLC, UT
NPI 1891704698 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1891704698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 341812-1205 (UT)
- Practice address
- 24 S 1100 E
209
SLC, UT 84102-1500 - Phone
- (801) 208-5938
- Fax
- (801) 350-4753
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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 |
|---|---|---|---|---|
| I20050706000832 | UT | Practitioner - Hospice/Palliative Care |
0840236329 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current |
Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Physician Group of Utah Inc | Current |
Accepting new patients | |
| University of Utah Adult Services | Current |
Accepting new patients |
Locations
82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
24 S 1100 E
Ste 209
Slc, UT 84102
Phone (801) 350-4602
2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Interoperability endpoints
- cbaraldi6678@direct.med.utah.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 341812-1205 | UT | Yes |
Addresses
Primary practice location
24 S 1100 E
209
SLC, UT 84102-1500
Mailing address
PO Box 95970
South Jordan, UT 84095-0970
Phone (801) 352-9500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528175800002 | Medicaid | UT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbaraldi6678@direct.med.utah.edu | Direct | University of Utah |
Other providers in SLC, UT
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- Jeffrey Bailey
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- J Todd Baker
- Spencer Barfuss
- Kirstin E. Barker
- Randy Sean Barnhisel
- Brittini N Barr
- Whitney Jane Barrell
All providers in SLC, UT · Internal Medicine 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 Oct 19, 2021. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.