NPPES file of Aug 9, 2026

Ganna Shestakova, M.D. PH.D.

Hematology (Pathology) Physician · Salt Lake City, UT

Ganna Shestakova, M.D. PH.D. is a hematology (pathology) physician with a practice address in Salt Lake City, Utah, and NPI 1164877544, issued on May 4, 2016. Check the license (Utah 12256633-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1164877544
Name
Ganna Shestakova
Credential
M.D. PH.D.
Primary taxonomy
Hematology (Pathology) Physician 207ZH0000X
License number
12256633-1205 UT
Self-reported in NPPES; status is on the state search
Practice location
15 N Medical Dr Ste 1100, Salt Lake City, UT 84112
Phone
(801) 583-2787
Enumerated
May 4, 2016
Record last updated
Jul 8, 2022
Medicare enrollment
Enrolled (PECOS I20220421001428); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 15 N Medical Dr Ste 1100

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Elvis Acquah, PHDStudent in an Organized Health Care Education/Training Program1447060462
  2. Brennen Anderson, MDStudent in an Organized Health Care Education/Training Program1992508451
  3. Spencer Barnes, MDAnatomic Pathology Physician1376171843
  4. Mira BasuinoStudent in an Organized Health Care Education/Training Program1689478380
  5. Abanoub BectorStudent in an Organized Health Care Education/Training Program1710827811
  6. Jason Bennett, MDAnatomic Pathology & Clinical Pathology Physician1386755809

Verify Ganna Shestakova in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersUtah Medical Licensing Board
    Search for license 12256633-1205
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Utah license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 92.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. University OF Utah Adult ServicesSalt Lake City, UT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ganna Shestakova among 16 hematology (pathology) physician records in Utah

Ganna Shestakova, M.D. PH.D. is one of 16 hematology (pathology) physician records with a practice address in Utah. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 75% of them.

  • NPI issued2016 · 75% of these records are older, 19% newer
  • In a Medicare fileYes · 56% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Record last updated2022 · 75% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZH0000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Hematology (Pathology) Physician providers in Utah

There are 16 hematology (pathology) physician records in Utah.

The 8 hematology (pathology) physician records with the nearest ZIP codes

  1. Archana Agarwal, M.D.Salt Lake City, UT 841121245488667
  2. Cory Bosworth, MDSalt Lake City, UT 841121639734304
  3. Timothy Hanley, M.D.Salt Lake City, UT 841121467794941
  4. Karen Moser, M.D.Salt Lake City, UT 841121760635478
  5. Kate Parkinson, MDSalt Lake City, UT 841121245122597
  6. Nicholas Taylor, DOSalt Lake City, UT 841121780326900
  7. Rodney Miles, M.D., PH.DSalt Lake City, UT 841081750577417
  8. Lincoln Pac, M.D.Salt Lake City, UT 841081093135519

Common questions

What is Ganna Shestakova, M.D. PH.D.'s NPI number?

Ganna Shestakova, M.D. PH.D.'s National Provider Identifier (NPI) is 1164877544, issued on May 4, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Ganna Shestakova, M.D. PH.D. located?

The NPPES record lists a practice address at 15 N Medical Dr Ste 1100, Salt Lake City, UT, 84112. Phone: (801) 583-2787. Providers update this record themselves, so call before visiting.

How can I verify Ganna Shestakova, M.D. PH.D.'s license?

NPPES lists Utah license number 12256633-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Ganna Shestakova, M.D. PH.D.'s MIPS final score?

The 2023 MIPS final score is 92.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.