Active NPI
Aylin Rachel Rodan, M.D.
- Nephrology Physician
- Salt Lake City, UT
National Provider Identifier
1952560351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 10153964-1205
- Practice address
- 85 Medical Dr
Room 223
Salt Lake City, UT 84112-1100 - Phone
- (801) 585-5215
- Fax
- (801) 581-8934
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | M9617 | TX | |
| Nephrology Physician | 207RN0300X | 10153964-1205 | UT | Primary |
Addresses
Primary practice location
85 Medical Dr
Room 223
Salt Lake City, UT 84112-1100
Mailing address
85 Medical Dr
Room 223
Salt Lake City, UT 84112-1100
Phone (801) 585-5215
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | arodan244470@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10153964-1205 | UT | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1952560351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 MEDICAL DR",
"address_2": "ROOM 223",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841121100",
"telephone_number": "801-585-5215",
"fax_number": "801-581-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 MEDICAL DR",
"address_2": "ROOM 223",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841121100",
"telephone_number": "801-585-5215",
"fax_number": "801-581-8934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODAN",
"first_name": "AYLIN",
"middle_name": "RACHEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "M9617",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "UT",
"license": "10153964-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "arodan244470@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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.