Individual provider Active NPI

Gary Richard Zeluff, M.D.

  • Orthopaedic Surgery Physician
  • Richfield, UT
National Provider Identifier
1861557688
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
159874-1205 Issued in UT
Practice address
70 E 1000 N
Richfield, UT 84701-1850
Phone
(435) 893-0580
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 159874-1205 UT Primary

Addresses

Primary practice location

70 E 1000 N
Richfield, UT 84701-1850

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (435) 893-0580

Other identifiers 1

IdentifierTypeStateIssuer
1861557688MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051207001052 UT Practitioner - Orthopedic Surgery 0547227894 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159874-1205UTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Utah Inc CurrentSince Jun 1, 2008 Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients

Locations

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3584 W 9000 S
Ste 405
West Jordan, UT 84088
Phone (801) 568-3480

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Organizations & group practices 3

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1861557688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "435-893-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E 1000 N",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011850",
            "telephone_number": "435-893-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELUFF",
        "first_name": "GARY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "159874-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861557688",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

Verify at the official NPI Registry.