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: October 25, 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
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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 IDI20251112003705
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Ken Nakanote reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
1000 DELBON AVE, STE 2
Turlock, CA 95382
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
Diagnostic Radiology
1800 N CALIFORNIA ST
Stockton, CA 95204
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group
Diagnostic Radiology
12401 WASHINGTON BLVD
Whittier, CA 90602
  • Reassigned Medicare billing, California enrollment
  • 84 clinicians in this Medicare group
General Practice
500 NE MULTNOMAH ST
Portland, OR 97232
  • Reassigned Medicare billing, Washington enrollment
  • 2,534 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132

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.

Which organizations bill Medicare for Ken Nakanote's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ken Nakanote reassigns Medicare benefits to 4 organizations: First Choice Physician Partners (Turlock, CA), Advanced Radiology And Interventional Associates Inc (Stockton, CA), Lambert Radiology Medical Group, Inc (Whittier, CA) and Kaiser Foundation Health Plan Of The Northwest (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ken Nakanote's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.