GANNA SHESTAKOVA M.D. PH.D.
NPI 1164877544
Pathology - Hematology in Salt Lake City, UT

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112(801) 583-2787 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2022, May 26, 2021 (2 updates tracked since 2021).

About Ganna Shestakova M.d. Ph.d. NPPES

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

GANNA SHESTAKOVA M.D. PH.D. (NPI 1164877544) is an individual hematology provider in Salt Lake City, Utah, licensed in Utah (12256633-1205) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Orange.

NPPES Registry Identity

NPI1164877544
Entity TypeIndividualFemale
Primary Taxonomy207ZH0000X
Provider Legal NameGANNA SHESTAKOVACredential: M.D. PH.D.
Location Address15 N MEDICAL DR STE 1100Salt Lake City, UT 84112-1100
Mailing Address15 N Medical Dr Ste 1100Salt Lake City, UT 84112-1100 · (801) 583-2787
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 4, 2016
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
NPI 1164877544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZH0000X
License Licensed in UT · 12256633-1205
Definition
A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.
Also ListedPathology · Molecular Genetic PathologyTaxonomy 207ZP0007X · License 12256633-1205 (UT)
15 N MEDICAL DR STE 1100, Salt Lake City, UT 84112

Other Names 1

Other Name (5)Anna Shestakova M.d. Ph.d.

Secondary Practice Location 1

Location 1101 The City Dr S Bldg 1, Rm. 3622Orange, CA 92868-3201 · Phone (714) 456-6411

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

Ganna Shestakova M.d. Ph.d. 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 ID9234526245
PECOS Enrollment IDI20220421001428
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 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
130 services63 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
127 services28 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
78 services71 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
68 services63 patients
Bone marrow, smear interpretation 85097
Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.
65 services62 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
56 services50 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Pathology (Hematology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Pathology (Anatomic Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Student in an Organized Health Care Education/Training Program
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112
Pathology (Anatomic Pathology & Clinical Pathology)
15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112

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 Ganna Shestakova's NPI number?

The NPI number for Ganna Shestakova is 1164877544. It was assigned to this individual provider in the NPPES registry on May 4, 2016. The provider is also known as Anna Shestakova M.D. Ph.D..

Where is Ganna Shestakova located?

Ganna Shestakova practices at 15 N Medical Dr Ste 1100, Salt Lake City, UT 84112. The listed phone number is (801) 583-2787.

What is Ganna Shestakova's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.

Is Ganna Shestakova enrolled in Medicare?

Yes. Ganna Shestakova 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.

Is Ganna Shestakova affiliated with any hospitals?

According to CMS data, Ganna Shestakova is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Ganna Shestakova was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.