Larissa Beyerlein, M.D.

Primary specialty

Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X

License

8637381-1205 Issued in UT

Practice address

295 Chipeta Way
Department of Pediatric Emergency Medicine
Salt Lake City, UT 84158

Phone

(801) 587-7436

Fax

(801) 587-7455

NPI assigned

Jul 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Merit-based Incentive Payment System (MIPS)

Final score

96.44 of 100Reported as group

Quality

82.65

Promoting interoperability

100

Improvement activities

40

Cost

77.21

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbeyerlein379234@fairview.direct-ci.com

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.

• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment
• Fairview Express Care

  dba M Health Fairview Pediatric Therapy - New Hope

  • Rehabilitation Clinic/Center
  • New Hope, MN
  • NPI 1316318074
  NPD
• Fairview Health Services

  dba Fairview Hospital University

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD
• Fairview Health Services

  dba Fairview Emergency Medical Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1902110232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 CHIPETA WAY, SUITE 200",
            "address_2": "PEDIATRIC EMERGENCY MEDICINE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84158",
            "telephone_number": "801-587-7436",
            "fax_number": "801-587-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 CHIPETA WAY",
            "address_2": "DEPARTMENT OF PEDIATRIC EMERGENCY MEDICINE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84158",
            "telephone_number": "801-587-7436",
            "fax_number": "801-587-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYERLEIN",
        "first_name": "LARISSA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "UT",
            "license": "8637381-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Bevill, RN
• Abigail Riddle Beyeler
• Greg T Beyeler, D.D.S.
• Parker L Beyeler, DDS
• Rachel Beyer, RNFA
• Bowen Beykirch
• Hollie Beynon, CSW
• Beyond Care Services Ut LLC (Beyond Care Therapy UT LLC)
• Carrie Ann Bezzant, ATC
• John Lloyd Bezzant, M.D.

• Pediatric Emergency Medicine (Pediatrics) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatric Emergency Medicine (Pediatrics) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.