Dustin John Fanciullo, MD
Dustin John Fanciullo, MD is a Vascular Surgery in Salt Lake City, Utah. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2004, 22 years ago. Practices with Mountainstar Cardiovascular Services LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 22
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- UT
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1160 E 3900 S Ste 3100Salt Lake City, UT 84124-1290
Phone: (801) 262-2806
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X · Licence 14267138-1205 (UT) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 14267138-1205 (UT) |
Record details
| NPI number | 1013164052 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 21, 2008 |
| Last updated in NPPES | March 2, 2026 |
| Certification date | March 2, 2026 |
Medicare enrollment
| Medicare specialty | VASCULAR SURGERY |
|---|---|
| Also practises | GENERAL SURGERY |
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 2004 (22 years in practice) |
| Group practice | Mountainstar Cardiovascular Services Llc — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Salt Lake City
-
Dr. Marla Weissler Dudak, MD
1220 E 3900 S Ste 4I, Salt Lake City, UT 84124-1383 · (801) 948-2380
-
Rebecca Empey
30 N 1900 E Rm 3B324, Salt Lake City, UT 84132-0002 · (801) 581-6803
-
Dr. Toby Merrill Enniss, MD
30 N 1900 East Mreb 307 University Of Utah School Of Medicine Dept OF Surgery, Salt Lake City, UT 84132 · (801) 585-7280
-
Patrick R. Evans, MD
30 N 1900 E Rm 1A071, Salt Lake City, UT 84132-0002 · (801) 581-2868
-
Dr. Stephen Joseph Fenton, MD
100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 · (801) 662-2950
-
Dr. Kerry Scott Fisher, MD
324 10th Ave, Salt Lake City, UT 84103-2853 · (801) 408-7660
-
Katie E. Glasgow, MD
30 N 1900 E, Salt Lake City, UT 84132-0002 · (801) 581-6803
-
Robert Edward Glasgow, MD
5169 S Cottonwood St Ste 410, Salt Lake City, UT 84107-6769 · (801) 507-1600