IndividualActive
Venugopal Amula
NPI 1528268448 · Pediatric Critical Care Medicine Physician · Slc, UT
Provider details
- NPI number
- 1528268448
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 4301089982 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(93/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 N Mario Capecchi Dr
Slc, UT 84113-1103
Phone: (806) 622-2550
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Mario Capecchi Dr
Slc, UT 84113-1103
Additional practice locations (1)
- 3601 W. 13 Mile RoadRoyal Oak, MI 48073Phone: (248) 423-2410Fax: (248) 423-2257
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.