Individual provider Active NPI

Leo Sotiriou, MD

  • Procedural Dermatology Physician
  • Salt Lake City, UT
National Provider Identifier
1801885199
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
155029 1205 Issued in UT
Practice address
250 E 300 S
#330
Salt Lake City, UT 84111-2418
Phone
(801) 521-5630
Fax
(801) 596-9780
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 155029 1205 UT Primary

Addresses

Primary practice location

250 E 300 S
#330
Salt Lake City, UT 84111-2418

Mailing address

250 E 300 S
#330
Salt Lake City, UT 84111-2418
Phone (801) 521-5630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155029 1205UTMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Lake Dermatology and Aesthetics PC PastSince Mar 28, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00256

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801885199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 300 S",
            "address_2": "#330",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112418",
            "telephone_number": "801-521-5630",
            "fax_number": "801-596-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 300 S",
            "address_2": "#330",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841112418",
            "telephone_number": "801-521-5630",
            "fax_number": "801-596-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTIRIOU",
        "first_name": "LEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "155029 1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.