EMERALD MEDICAL PRACTICE PC
NPI 1447011267
Specialist in Park City, UT

Active since January 18, 2024
1743 SIDEWINDER DR UNIT 114, PARK CITY, UT 84060(307) 840-9834(833) 450-0933 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2026, May 20, 2025, Apr 1, 2025 and 1 more (4 updates tracked since 2024).

About Emerald Medical Practice Pc NPPES

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

EMERALD MEDICAL PRACTICE PC (NPI 1447011267) is a healthcare organization registered as a specialist in Park City, Utah and active in the NPI registry since January 2024. The organization maintains 4 additional practice locations and lists Ashwin Muralidharan, President, as its authorized official.

NPPES Registry Identity

NPI1447011267
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEMERALD MEDICAL PRACTICE PC
Location Address1743 SIDEWINDER DR UNIT 114Park City, UT 84060-7322
Mailing Address1441 Ute Blvd Ste 370Park City, UT 84098-7718 · (307) 840-9834
Fax(833) 450-0933
Organization SubpartNo
Authorized OfficialAshwin MuralidharanPresident · (307) 840-9834
Enumeration DateJanuary 18, 2024
Last NPPES UpdateJune 9, 20264 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1447011267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1743 SIDEWINDER DR UNIT 114, Park City, UT 84060

Secondary Practice Locations 4

Location 13800 N Central Ave Ste 460Phoenix, AZ 85012-1995 · Phone (307) 840-9834
Location 2801 Adlai Stevenson DrSpringfield, IL 62703-4261 · Phone (307) 840-9834
Location 31160 Dublin Rd Ste 400Columbus, OH 43215-1052 · Phone (307) 840-9834
Location 44770 Baseline Rd Ste 200Boulder, CO 80303-2668 · Phone (307) 840-9834

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emerald Medical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Emerald Medical Practice PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Family Practice11
Internal Medicine10
Nurse Practitioner6
Emergency Medicine5
Hospitalist1
Pediatric Medicine1

Nearest to this location (20)

See all 34
Internal Medicine
NPI 1811200629
1743 S SIDEWINDER DRIVE UNIT 114
Park City, UT 84060
(307) 840-9834
✔ PECOSSame address
Family Practice
NPI 1093979528
1743 S SIDEWINDER DRIVE UNIT 114
Park City, UT 84060
(307) 840-9834
✔ PECOSSame address
Internal Medicine
NPI 1194103309
1743 SIDEWINDER DRIVE UNIT 114
Park City, UT 84060
(307) 840-9834
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1245562594
1743 S SIDEWINDER DRIVE UNIT 114
Park City, UT 84060
(307) 840-9834
✔ PECOSSame address
Emergency Medicine
NPI 1174984058
1743 S SIDEWINDER DRIVE UNIT 114
Park City, UT 84060
(307) 840-9834
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1023338498
8TH AVE C ST
Salt Lake City, UT 84143
(801) 507-4384
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1407193378
1441 FLORIDA AVE
Modesto, CA 95350
(209) 342-3108
✔ PECOS✔ Accepts Medicare550 mi
Internal Medicine
NPI 1003814823
4001 E SUNRISE DR STE 161
Tucson, AZ 85718
(520) 408-6955
✔ PECOS577 mi
Emergency Medicine
NPI 1073176723
1200 N. STATE STREET GNH 1060K
Los Angeles, CA 90033
(323) 409-7053
✔ PECOS✔ Accepts Medicare586 mi
Internal Medicine
NPI 1518283787
1220 ROSSMOOR PKWY
Walnut Creek, CA 94595
(925) 947-3393
✔ PECOS598 mi
Family Practice
NPI 1285860478
6114 LA SALLE AVE # 582
Oakland, CA 94611
(707) 582-3209
✔ PECOS607 mi
Internal Medicine
NPI 1881986206
651 1ST ST W STE H
Sonoma, CA 95476
(707) 938-3870
✔ PECOS608 mi
Family Practice
NPI 1174934566
1500 MISSION ST
San Francisco, CA 94103
(646) 650-5337
✔ PECOS✔ Accepts Medicare618 mi
Internal Medicine
NPI 1962030254
7901 FROST ST
San Diego, CA 92123
(858) 939-3400
✔ PECOS✔ Accepts Medicare626 mi
Nurse Practitioner
NPI 1831715614
1855 GATTIS SCHOOL RD
Round Rock, TX 78664
(866) 389-2727
✔ PECOS1,046 mi
Family Practice
NPI 1568812477
2308 MAXWELL LN UNIT 1
Austin, TX 78741
(737) 235-8024
✔ PECOS1,058 mi
Nurse Practitioner
NPI 1992274500
10961 NORTHWEST FWY
Houston, TX 77092
(713) 686-3700
✔ PECOS1,172 mi
Emergency Medicine
NPI 1295983906
2300 OPITZ BLVD BESTPRACTICES INC
Woodbridge, VA 22191
(703) 670-1782
✔ PECOS1,818 mi
Pediatric Medicine
NPI 1205127172
2300 PENNSYLVANIA AVE STE 4C
Wilmington, DE 19806
(302) 440-4275
✔ PECOS✔ Accepts Medicare1,888 mi
Emergency Medicine
NPI 1760612840
550 1ST AVE
New York, NY 10016
(212) 263-3293
✔ PECOS1,955 mi
See all 34 clinicians

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

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 Emerald Medical Practice PC's NPI number?

The NPI number for Emerald Medical Practice PC is 1447011267. It was assigned to this organization in the NPPES registry on January 18, 2024.

Where is Emerald Medical Practice PC located?

Emerald Medical Practice PC is located at 1743 Sidewinder Dr Unit 114, Park City, UT 84060. The listed phone number is (307) 840-9834.

What is Emerald Medical Practice PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Emerald Medical Practice PC enrolled in Medicare?

Yes. Emerald Medical Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emerald Medical Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 6 Medicare specialties reassign their Medicare billing to Emerald Medical Practice PC. A 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 the clinician's services. The largest specialties are Family Practice (11), Internal Medicine (10) and Nurse Practitioner (6). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Emerald Medical Practice PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Emerald Medical Practice PC 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.

When was this NPI record last updated?

The NPPES record for Emerald Medical Practice PC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.