Individual provider Active NPI

Andrew Cortez, D.O.

  • Nephrology Physician
  • Layton, UT
National Provider Identifier
1902882806
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
12362200-1204 Issued in UT
Practice address
2132 N 1700 W Ste 110
Layton, UT 84041-7059
Phone
(801) 779-3500
Fax
(801) 779-3508
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4200 AZ
Nephrology Physician 207RN0300X 12362200-1204 UT Primary

Addresses

Primary practice location

2132 N 1700 W Ste 110
Layton, UT 84041-7059

Mailing address

3702 S State St Ste 107
South Salt Lake, UT 84115-5096
Phone (801) 288-2634

Other practice location 1

5285 S 400 E Ste B
Washington Terrace, UT 84405-7194
Phone (801) 779-3500

Other identifiers 2

IdentifierTypeStateIssuer
1902882806MedicaidUT
1902882806-01MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acortez35893@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214000000 UT Practitioner - Nephrology 4688612880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
College of Osteo Med of the Pacific at Pomona, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Utah LLCGroup PAC ID 2769468065, 31 clinicians

Practice addresses (Care Compare)

2132 N 1700
Suite 110
Layton, UT 84041-7059
Phone (801) 779-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4200AZMDChiropractor
12362200-1204UTMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Utah LLC Nephrology CurrentSince Feb 1, 2022 Accepting new patients
Arizona Oncology Associates PC Internal Medicine Past Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine PastSince Nov 1, 2008 Accepting new patients
Northwest Tucson Dialysis LLC Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients
Akdhc, LLC Nephrology Past Accepting new patients
Kidney & Hypertension Institute of Northern Utah LLC Nephrology Past Accepting new patients
Kidney & Hypertension Institute of Utah PLLC Nephrology Past Accepting new patients

Locations

1551 Renaissance Towne Dr
Ste 340
Bountiful, UT 84010
Phone (801) 288-2634

12523 S Creek Meadow Rd
Ste 111
Riverton, UT 84065
Phone (801) 288-2634

3702 S State St
Ste 107
South Salt Lake, UT 84115
Phone (801) 288-2634

1244 N Main St
Ste 101
Tooele, UT 84074
Phone (435) 249-0007

5285 S 400 E
#B
Washington Terrace, UT 84405
Phone (801) 476-7300

3823 W 9000 S
West Jordan, UT 84088
Phone (801) 288-2634

4101 W Pioneer Pkwy
Ste 103
West Valley City, UT 84120
Phone (801) 288-2634

2965 W 3500 S
Fl 2
West Valley City, UT 84119
Phone (801) 288-2634

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14360/brand/20/csg/1/fhir/r4

Organizations & group practices 8

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1902882806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 S STATE ST STE 107",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841155096",
            "telephone_number": "801-288-2634",
            "fax_number": "801-288-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 N 1700 W STE 110",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840417059",
            "telephone_number": "801-779-3500",
            "fax_number": "801-779-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5285 S 400 E Ste B",
            "address_purpose": "LOCATION",
            "city": "Washington Terrace",
            "state": "UT",
            "postal_code": "844057194",
            "country_code": "US",
            "telephone_number": "801-779-3500",
            "fax_number": "801-779-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AZ",
            "license": "4200",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "12362200-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902882806",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902882806-01",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acortez35893@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "2132 N 1700 W Ste 110",
            "city": "Layton",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840417059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.