Presidium Medical Group PLLC
NPI 1689461774 · Adult Medicine Physician · Salt Lake City, UT
Presidium Medical Group PLLC is a Adult Medicine Physician organization in Salt Lake City, UT (NPI 1689461774).
Provider details
- NPI number
- 1689461774
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ashkan Hayatdavoudi, Owner(619) 738-5566
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
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2025-04-22
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Presidium Medical Group PLLC's NPI number?
- Presidium Medical Group PLLC's National Provider Identifier (NPI) is 1689461774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Presidium Medical Group PLLC?
- Presidium Medical Group PLLC is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Presidium Medical Group PLLC located?
- Presidium Medical Group PLLC's practice location on file with NPPES is 32 E Exchange Pl Fl 6, Salt Lake City, UT 84111-2704.
- What is Presidium Medical Group PLLC's phone number?
- The practice phone number listed in the NPPES registry for Presidium Medical Group PLLC is (619) 738-5566.
- Who is the authorized official for Presidium Medical Group PLLC?
- The authorized official listed on Presidium Medical Group PLLC's NPPES record is Ashkan Hayatdavoudi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Presidium Medical Group PLLC's NPI active?
- Yes — Presidium Medical Group PLLC's NPI (1689461774) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.