University of Utah Pediatric Services

A Medicare group practice based in Salt Lake City, UT: 44 NPIs enrolled under one PECOS associate control ID (PAC ID 0547552473), with 806 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0547552473The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
ID, SD, TX, UT
Enrollments
4
Group size
129 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
17In 10 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20160728000531 ID Part B Supplier - Clinic/Group Practice 1154783017
O20160713000371 UT Part B Supplier - Clinic/Group Practice 1487018974
O20260127001851 TX Part B Supplier - Clinic/Group Practice 1285098855
O20260123003471 SD Part B Supplier - Clinic/Group Practice 1750742607

NPIs in this group 44

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 806

Page 1 of 9

Clinicians who reassign their Medicare benefits to this group (806) or whom Care Compare lists as members (129).

Sources for this page