RAVI SAJJAN RAJENDRA
NPI 1811573249
Orthopaedic Surgery in Salt Lake City, UT

Q: What is Ravi Rajendra's NPI number?

The NPI number for Ravi Rajendra is 1811573249. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Ravi Rajendra's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Ravi Rajendra was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 24, 2021PECOS Enrolled

590 S WAKARA WAY RM A0058, SALT LAKE CITY, UT 84108(801) 587-5457 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2026, May 20, 2026, Jul 31, 2021 and 1 more (4 updates tracked since 2021).

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About Ravi Sajjan Rajendra NPPES

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

RAVI SAJJAN RAJENDRA (NPI 1811573249) is an individual orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (14278992-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811573249

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameRAVI SAJJAN RAJENDRA

Location Address590 S WAKARA WAY RM A0058Salt Lake City, UT 84108-1200

Mailing Address590 S Wakara Way Rm A0058Salt Lake City, UT 84108-1200 · (801) 587-5457

Phone(801) 587-5457

Sole ProprietorNo

Enumeration DateMarch 24, 2021

Last NPPES UpdateAugust 26, 20264 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1811573249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in UT · 14278992-1205

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

590 S WAKARA WAY RM A0058, Salt Lake City, UT 84108

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Secondary Practice Locations 2

Location 11542 Tulane Avenue, Box T6-7New Orleans, LA 70112-2865 · Phone (334) 450-5776

Location 25249 Magazine StNew Orleans, LA 70115-1851 · Phone (334) 450-5776

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ravi Sajjan Rajendra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ravi Rajendra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Adult Services

Same address

Physical Therapist

520 S WAKARA WAY
Salt Lake City, UT 84108

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1487000287 (801) 587-6336

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 84108 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.

CAMERON R. GUY MD

Orthopaedic Surgery