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KEN A. NAKANOTE MD
NPI 1386164960
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since June 23, 2017PECOS EnrolledAccepts Medicare Assignment
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132(801) 581-2868 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2021, Jun 23, 2017 (2 updates tracked since 2017).

About Ken A. Nakanote Md NPPES

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

KEN A. NAKANOTE MD (NPI 1386164960) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Oregon (MD222332) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pasadena, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386164960
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKEN A. NAKANOTECredential: MD
Location Address30 N 1900 E RM 1A071Salt Lake City, UT 84132-0002
Mailing Address3181 Sw Sam Jackson Park Rd, Ohsu Main Hospital (11th Floor)Portland, OR 97239-3011 · (503) 418-6725 · Fax (503) 346-8051
Phone(801) 581-2868
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 23, 2017
Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1386164960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OR · MD222332
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 12229859-1205 (UT)
30 N 1900 E RM 1A071, Salt Lake City, UT 84132
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 W California BlvdPasadena, CA 91105-3010 · Phone (626) 397-5187

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

Ken A. Nakanote 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 ID5496152407
PECOS Enrollment IDI20241104000926, I20251112003705
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
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.

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.

DR. ERIKA J. SCHNEBLE DO, MA
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
WEI LIN OUYANG MD
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
DR. LAURA M. MANN M.D.
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2766
DAVID L. RIESBERG MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2868
KELLY DAHLSTROM D.O.
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7553
DR. ADRIENE EASTAWAY MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
DR. MICHAEL PETERSON MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2868
SPENCER J. BAKER MD
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2868

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 Ken Nakanote's NPI number?

The NPI number for Ken Nakanote is 1386164960. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Ken Nakanote located?

Ken Nakanote practices at 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132. The listed phone number is (801) 581-2868.

What is Ken Nakanote's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ken Nakanote enrolled in Medicare?

Yes. Ken Nakanote 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.

When was this NPI record last updated?

The NPPES record for Ken Nakanote was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.