Active NPI
Kamal K. Sahu, MD, MBBS
- Hematology & Oncology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 12240906-1205
- Practice address
- 30 N 1900 E RM 5C402
Salt Lake City, UT 84132-0002 - Phone
- (801) 585-0120
- NPI assigned
- Jul 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 275982 | MA | |
| Hematology & Oncology Physician | 207RH0003X | 12240906-1205 | UT | Primary |
Addresses
Primary practice location
30 N 1900 E RM 5C402
Salt Lake City, UT 84132-0002
Mailing address
30 N 1900 E RM 5C402
Salt Lake City, UT 84132-0002
Phone (801) 585-0120
Other practice location 1
123 Summer St
Worcester, MA 01608
Phone (508) 363-6208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
925 Union St
Bangor, ME 04401-3051
Hospital & facility affiliations
- Northern Light Eastern Maine Medical Center
- Northern Light Mayo Hospital
- Northern Light Blue Hill Memorial Hospital
- Northern Light Maine Coast Hospital
- St Joseph Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275982 | MA | MD | Internal Medicine Physician |
| 12240906-1205 | UT | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
43 Whiting Hill Rd
Ste 250
Brewer, ME 04412
33 Whiting Hill Rd
Brewer, ME 04412
Phone (207) 973-7478
Organizations & group practices 2
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.
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1922584440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 1900 E RM 5C402",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-585-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 1900 E RM 5C402",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-585-0120"
}
],
"practiceLocations": [
{
"address_1": "123 Summer St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "01608",
"country_code": "US",
"telephone_number": "508-363-6208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAHU",
"first_name": "KAMAL",
"middle_name": "K.",
"credential": "MD, MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-18",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "275982",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "UT",
"license": "12240906-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.