SARMISHTA DIRAVIAM KANNAN MD
NPI 1831828102
Pediatrics in Salt Lake City, UT

Q: What is Sarmishta Diraviam Kannan's NPI number?

The NPI number for Sarmishta Diraviam Kannan is 1831828102. It was assigned to this individual provider in the NPPES registry on June 10, 2022.

Q: What is Sarmishta Diraviam Kannan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 10, 2022PECOS Enrolled

50 N MEDICAL DR, SALT LAKE CITY, UT 84132(978) 376-5797 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sarmishta Diraviam Kannan Md NPPES

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

SARMISHTA DIRAVIAM KANNAN MD (NPI 1831828102) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (14245981-1205) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831828102

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSARMISHTA DIRAVIAM KANNANCredential: MD

Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001

Mailing Address295 S Chipeta Way Rm 2s010Salt Lake City, UT 84108-1287 · (801) 581-2121

Phone(978) 376-5797

Sole ProprietorNo

Enumeration DateJune 10, 2022

Last NPPES UpdateOctober 29, 2025

NPPES CertifiedOctober 29, 2025

✔ NPI 1831828102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in UT · 14245981-1205

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

50 N MEDICAL DR, Salt Lake City, UT 84132

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarmishta Diraviam Kannan Md 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.

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

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

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.

UNIVERSITY OF UTAH ADULT SERVICES

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