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

Kenneth G Nielson, MD

Individual provider Cardiovascular Disease Physician · NPI 1063404929

Kenneth G Nielson, MD is a Cardiovascular Disease (Cardiology) in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 1988, 38 years ago. Practices with Mountainstar Cardiology St Marks LLC, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
38
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1160 E 3900 S Ste 2000
Salt Lake City, UT 84124-1202
Phone: (801) 266-3418
Fax: (801) 288-4444
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

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 183758-1205 (UT)

Record details

NPI number1063404929
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2005
Last updated in NPPESNovember 27, 2020
Certification dateNovember 27, 2020

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Mountainstar Cardiology St Marks Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Salt Lake City