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

Dr. Jitendra Adepu, MD

Individual provider Internal Medicine Physician · NPI 1821227109

Dr. Jitendra Adepu, MD is an Internal Medicine in Layton, Utah. Qualified in 2004, 22 years ago. Practices with Tanner Memorial Clinic, a 252-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
22
Licensed in
UT
In the registry since
2009
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

1600 W Antelope Dr
Layton, UT 84041-1142
Phone: (801) 773-4840
Fax: (801) 525-8151
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 8263866-1205 (UT)

Record details

NPI number1821227109
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 8, 2009
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021
Mailing addressPo Box 337, Layton, UT 84041-0337

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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