Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrew Fedoravicius, MD

Individual provider Internal Medicine Physician · NPI 1851585087

Dr. Andrew Fedoravicius, MD is a Gastroenterology in West Valley City, Utah. Graduated from University of New Mexico School of Medicine in 2004, 22 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
22
Trained at
University of New Mexico School of Medicine
Licensed in
UT
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2965 W 3500 S
West Valley City, UT 84119-3602
Phone: (801) 965-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6360 South 3000 East, Suite 310, Salt Lake City, UT 84121 — (801) 944-3144

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 6360128-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 6360128-1205 (UT)
Hospitalist Physician Taxonomy 208M00000X · Licence 7471341-1205 (UT)

Record details

NPI number1851585087
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 30, 2007
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025
Mailing address2965 W 3500 S, West Valley City, UT 84119-3602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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