SAM WADE WADHVANIA (MD) – Hospitalist Physician, NPI 1386641249

SAM WADE WADHVANIA (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. 6405008-1205 (UT). The NPI Number for SAM WADE WADHVANIA (MD) is 1386641249

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
SAM WADE WADHVANIA (MD)
NPI
1386641249
Phone
(866) 500-7071
Address
P.O. BOX 9677
Enumeration Date
6 July 2005
Last Update Date
29 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015079800
Graduation Year
1996 (30 years ago)
PAC ID
7315848454
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20070601000513
Address ID
UT841075701MU5121XSTXX400

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness95
Years active:20State licenses:2Other names

259 HOSPITALIST in UT

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Provider Addresses for SAM WADE WADHVANIA (MD)

  • P.O. BOX 9677

    SALT LAKE CITY, UT 841099677

    Phone: (866) 500-7071

    Fax: (866) 500-7081

    Type: Mailing

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • St. Mark's Hospital, 1200, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States

    Suite 4B

    Salt Lake City, UT 841241300

    Phone: (866) 500-7071

    Fax: (866) 500-7081

    Type: Location

  • 5121 S COTTONWOOD ST

    MURRAY, UT 841075701

    Phone: (801) 507-4384

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-06-01

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
I20070601000513IHospitalistUTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes21092$0
99239Hospital discharge day management, more than 30 minutes7373$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4040$0
View full utilization report →

Insurance plans in this area (ZIP 84109)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

Is SAM WADE WADHVANIA (MD) listed with a National Provider Identifier?
Yes — SAM WADE WADHVANIA (MD) has NPI 1386641249 on file in the registry.
Is SAM WADE WADHVANIA (MD) shown as active in public data?
Registry records indicate SAM WADE WADHVANIA (MD) maintains an active NPI.
What clinical focus is listed for SAM WADE WADHVANIA (MD)?
At a glance, SAM WADE WADHVANIA (MD) is tied to Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SAM WADE WADHVANIA (MD)?
Directory geography for SAM WADE WADHVANIA (MD) centers on Salt Lake City, Utah.
When was this NPI issued?
Enumeration for SAM WADE WADHVANIA (MD) is noted as July 6, 2005 where the registry provides it.

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