SIDDHARTH K. IYENGAR (MD) – Internal Medicine Physician, NPI 1003376187

SIDDHARTH K. IYENGAR (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in HEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 11901347-1205 (UT). The NPI Number for SIDDHARTH K. IYENGAR (MD) is 1003376187

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
SIDDHARTH K. IYENGAR (MD)
NPI
1003376187
Phone
(801) 581-7606
Address
30 N 1900 E RM 4C116
Enumeration Date
23 March 2019
Last Update Date
21 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3104000645
Graduation Year
2019 (7 years ago)
PAC ID
1456779917
Group Practice PAC ID
4385985407
Professional Enrollment ID
I20251022003957
Address ID
CA918032370AL1658XBLVD411
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

91 HEMATOLOGY/ONCOLOGY in UT

Provider Addresses for SIDDHARTH K. IYENGAR (MD)

  • 30 N 1900 E RM 4C116

    SALT LAKE CITY, UT 841320002

    Phone: (801) 581-7606

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $1,348.

Total Amount is formed as General ($1,348) + Research ($0) + Ownership ($0) = $1,348.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Blueprint Medicines Corporation ($271).

Total Amount

$1,348

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,348

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251022003957IHematology/OncologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385985407View full group profile
NameSpecialtyState
General SurgeryWA
Hematology/Oncology, Internal MedicineCA
General SurgeryCA
Internal Medicine, Hematology/OncologyCA
Anesthesiology, Critical Care (Intensivists)CA
General Surgery, Surgical OncologyCA
-CA
General SurgeryCA

Reviews

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Frequently asked questions

What NPI should I save for SIDDHARTH K. IYENGAR (MD)?
Save NPI 1003376187 if you need a stable reference for SIDDHARTH K. IYENGAR (MD).
Is SIDDHARTH K. IYENGAR (MD)'s NPI currently valid?
The extract we use shows SIDDHARTH K. IYENGAR (MD) as active.
Can you summarize SIDDHARTH K. IYENGAR (MD)'s specialty in plain language?
Clinically, the directory lists SIDDHARTH K. IYENGAR (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SIDDHARTH K. IYENGAR (MD)?
The page summarizes Salt Lake City, Utah for SIDDHARTH K. IYENGAR (MD); expand the address list for detail.
Is SIDDHARTH K. IYENGAR (MD) a real provider?
This page reflects official NPPES data for NPI 1003376187. Always confirm identity and privileges with the practice and licensing boards.

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