Wasatch Vascular Center LLC
NPI 1558905398 · Vascular & Interventional Radiology Physician · Salt Lake City, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wasatch Vascular Center LLC is a Vascular & Interventional Radiology Physician organization in Salt Lake City, UT (NPI 1558905398).
Provider details
- NPI number
- 1558905398
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gregg Miller, Authorized Official(610) 644-8900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
Mailing address
Additional practice locations (2)
- 3702 S State St Ste 105Salt Lake City, UT 84115-5096Phone: (801) 298-1300
- 3702 S State St Ste 111Salt Lake City, UT 84115-5078Phone: (801) 281-0027Fax: (801) 262-1533
Registry dates
- Enumerated
- 2019-11-05
- Last updated
- 2023-02-10
- Certified
- 2023-02-10
Frequently asked questions
- What is Wasatch Vascular Center LLC's NPI number?
- Wasatch Vascular Center LLC's National Provider Identifier (NPI) is 1558905398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wasatch Vascular Center LLC?
- Wasatch Vascular Center LLC is classified in the NPPES registry as Vascular & Interventional Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Wasatch Vascular Center LLC located?
- Wasatch Vascular Center LLC's practice location on file with NPPES is 3702 S State St Ste 103, Salt Lake City, UT 84115-5096.
- What is Wasatch Vascular Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Wasatch Vascular Center LLC is (801) 281-0027.
- Does Wasatch Vascular Center LLC accept Medicare?
- Wasatch Vascular Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wasatch Vascular Center LLC?
- The authorized official listed on Wasatch Vascular Center LLC's NPPES record is Gregg Miller, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wasatch Vascular Center LLC's NPI active?
- Yes — Wasatch Vascular Center LLC's NPI (1558905398) is active in the NPPES registry as of the last update on 2023-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.