DR. PHANINDRA ANTHARAM MD
NPI 1811483381
Internal Medicine - Cardiovascular Disease in Provo, UT

Q: What is Phanindra Antharam's NPI number?

The NPI number for Phanindra Antharam is 1811483381. It was assigned to this individual provider in the NPPES registry on July 7, 2018.

Q: What is Phanindra Antharam's specialty?

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

Active since July 07, 2018PECOS EnrolledAccepts Medicare Assignment

395 W BULLDOG BLVD, PROVO, UT 84604(801) 357-7081 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2026, Nov 25, 2025, Jun 3, 2025 and 2 more (5 updates tracked since 2018).

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About Dr. Phanindra Antharam Md NPPES

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

DR. PHANINDRA ANTHARAM MD (NPI 1811483381) is an individual cardiovascular disease provider in Provo, Utah, licensed in Utah (14195116-1205) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811483381

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. PHANINDRA ANTHARAMCredential: MD

Location Address395 W BULLDOG BLVDProvo, UT 84604-3311

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 357-7081

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 7, 2018

Last NPPES UpdateApril 8, 20265 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1811483381 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 · 14195116-1205

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.

395 W BULLDOG BLVD, Provo, UT 84604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.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

Dr. Phanindra Antharam 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 ID5395114870

PECOS Enrollment IDI20250815003243

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.

Hospital Affiliations CMS Care Compare 5

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460023

Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County

Emergency services Birthing friendly

Sevier Valley Hospital

Acute Care Hospitals · Richfield, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460026

Location1000 North Main StreetRichfield, UT 84701 · Sevier County

Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460062

Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County

Emergency services Birthing friendly

Sanpete Valley Hospital - Cah

Critical Access Hospitals · Mount Pleasant, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number461303

Location1100 South Medical DriveMount Pleasant, UT 84647 · Sanpete County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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.

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.

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