KENNETH G NIELSON MD
NPI 1063404929
Internal Medicine - Cardiovascular Disease in Salt Lake City, UT

Q: What is Kenneth Nielson's NPI number?

The NPI number for Kenneth Nielson is 1063404929. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Kenneth Nielson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Nielson was last updated on November 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment

83.72/100

CMS Quality Rating

1160 E 3900 S, STE 2000, SALT LAKE CITY, UT 84124(801) 266-3418(801) 288-4444 Get Directions Write a Review

NPPES record last updated: November 27, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kenneth G Nielson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH G NIELSON MD (NPI 1063404929) is an individual cardiovascular disease provider in Salt Lake City, Utah, licensed in Utah (183758-1205) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (1988).

NPPES Registry Identity

NPI1063404929

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameKENNETH G NIELSONCredential: MD

Location Address1160 E 3900 S, STE 2000Salt Lake City, UT 84124-1202

Mailing AddressPo Box 741729Atlanta, GA 30374-1729

Phone(801) 266-3418

Fax(801) 288-4444

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1988

Enumeration DateAugust 17, 2005

Last NPPES UpdateNovember 27, 2020

NPPES CertifiedNovember 27, 2020

✔ NPI 1063404929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in UT · 183758-1205

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1160 E 3900 S, Salt Lake City, UT 84124

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Other Identifiers 1

Medicaid10301UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth G Nielson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254324734

PECOS Enrollment IDI20040408000665

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

1,198 services721 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

610 services589 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

381 services316 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

274 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

185 services185 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

147 services139 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

145 services138 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

99 services99 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

87 services87 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

71 services67 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

58 services36 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

57 services57 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

53 services52 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

49 services46 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

45 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services38 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

40 services37 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

38 services35 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services32 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

29 services29 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

28 services28 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

19 services19 patients

Injection of x-ray contrast during ultrasound of heart 93352

This procedure involves injecting a special dye into your bloodstream during a heart ultrasound. This dye, visible on X-rays, helps create clearer images of your heart's structure and function. It's safe and assists in diagnosing heart conditions accurately.

18 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

17 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460047

Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County

Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT

5/5 CMS rating

OwnershipProprietary

CMS Certification Number460060

Location11925 South State StreetDraper, UT 84020 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

80.84

Improvement Activities

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)

100%39 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

67%1,318 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%4,429 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

75%1,832 patients4/55-star benchmark: 100%

Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

82%158 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

33%1,593 patients3/55-star benchmark: 61%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%1,627 patients4/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier13 claims13 services$70.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES S ZEBRACK MD

Internal Medicine (Cardiovascular Disease)

1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 266-3418

DR. KELLY RAMSAY O'NEAL III MD, MS

Internal Medicine (Cardiovascular Disease)

1160 E 3900 S, SUITE 2000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 266-3418

DR. JEFFREY G RANDLE MD

Physical Medicine & Rehabilitation

1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 262-8486

DR. MINA GOHARI M.D.

Family Medicine

1160 E 3900 S, STE G200
SALT LAKE CITY, UT 84124

Salt Lake County (801) 268-7766

JAMES JOSEPH CHAMBERLAIN MD

Internal Medicine

1160 E 3900 S, SUITE 1200
SALT LAKE CITY, UT 84124

Salt Lake County (801) 261-9651

PAWAN K SHARMA MD

Nuclear Medicine (Nuclear Cardiology)

1160 E 3900 S, STE 2000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 266-3418

STEPHEN G ROPER PA

Physician Assistant

1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 262-8486

MRS. LAURA JEAN ABERTON PT

Physical Therapist

1160 E 3900 S, #5000
SALT LAKE CITY, UT 84124

Salt Lake County (801) 262-8486

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Nielson's NPI number?

The NPI number for Kenneth Nielson is 1063404929. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Kenneth Nielson located?

Kenneth Nielson practices at 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124. The listed phone number is (801) 266-3418.

What is Kenneth Nielson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kenneth Nielson enrolled in Medicare?

Yes. Kenneth Nielson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Nielson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Kenneth Nielson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenneth Nielson affiliated with any hospitals?

According to CMS data, Kenneth Nielson is affiliated with University Of Utah Hospitals And Clinics, St Mark's Hospital and Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Nielson was last updated on November 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.