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

Jivatesh Singh Tung, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1215432521

Jivatesh Singh Tung, MD is a General Surgery in Salt Lake City, Utah. Graduated from University of Washington School of Medicine in 2018, 8 years ago. Practices with Public Hospital Dist No 1 Skagit, a 321-clinician group and accepts Medicare assignment. Licensed in Utah and Washington.

Years since qualifying
8
Trained at
University of Washington School of Medicine
Licensed in
UT, WA
In the registry since
2018
Specialties on file
2
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

1250 E 3900 S Ste 320
Salt Lake City, UT 84124-1350
Phone: (801) 263-1621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD61446781 (WA)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 14282218-1205 (UT)

Record details

NPI number1215432521
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address1250 E 3900 S Ste 320, Salt Lake City, UT 84124-1350

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Public Hospital Dist No 1 Skagit — 321 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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