Active NPI
Shreekanth V. Karwande, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Salt Lake City, UT
National Provider Identifier
1972693570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 172966-1205
- Practice address
- 1160 E 3900 S
#3500
Salt Lake City, UT 84124-1202 - Phone
- (801) 743-4750
- Fax
- (801) 743-4765
- NPI assigned
- Oct 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 172966-1205 | UT | Primary |
Addresses
Primary practice location
1160 E 3900 S
#3500
Salt Lake City, UT 84124-1202
Mailing address
PO Box 281490
Atlanta, GA 30384-1490
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skarwande2990@epicmtn.hcadirect.net |
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 |
|---|---|---|---|
| 172966-1205 | UT | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainstar Cardiology St Marks LLC | Current | Accepting new patients | |
| University of Utah Cardiothoracic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
Locations
698 W 800 N
Ste 160
Orem, UT 84057
Phone (801) 714-6412
1160 E 3900 S
Ste 3500
Salt Lake Cty, UT 84124
Phone (801) 476-6900
Interoperability endpoints
- skarwande2990@epicmtn.hcadirect.net
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.
-
- Interventional Cardiology Physician
- Salt Lake City, UT
- NPI 1437446168
-
- Surgery Physician
- Salt Lake City, UT
- NPI 1215946066
Thoracic Surgery (Cardiothoracic Vascular Surgery)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1972693570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 281490",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303841490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 E 3900 S",
"address_2": "#3500",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241202",
"telephone_number": "801-743-4750",
"fax_number": "801-743-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARWANDE",
"first_name": "SHREEKANTH",
"middle_name": "V.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2022-01-13",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "UT",
"license": "172966-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skarwande2990@epicmtn.hcadirect.net",
"affiliation": "N",
"address_1": "1160 E 3900 S",
"address_2": "#3500",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841241202",
"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 Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.