Dr Kelli Xenia Gross, MD in South Jordan, UT

Dr Kelli Xenia Gross, MD is a medicare enrolled "Urology" physician in South Jordan, Utah. She went to University Of Texas Medical Branch At Galveston and graduated in 2014 and has 12 years of diverse experience with area of expertise as Urology. She is a member of the group practice University Of Utah Adult Services, University Of Utah Adult Services and her current practice location is 5126 W Daybreak Pkwy, South Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 213-4500.

Dr Kelli Xenia Gross is licensed to practice in Utah (license number 51571) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154731685.

Contact Information

	Dr Kelli Xenia Gross, MD
	5126 W Daybreak Pkwy, South Jordan, UT 84009-5994
	(801) 213-4500
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kelli Xenia Gross
Gender	Female
Speciality	Urology
Experience	12 Years
Location	5126 W Daybreak Pkwy, South Jordan, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kelli Xenia Gross attended and graduated from University Of Texas Medical Branch At Galveston in 2014

NPI Data:

NPI Number: 1154731685
Provider Enumeration Date: 05/06/2014
Last Update Date: 01/28/2026

Medicare PECOS Information:

PECOS PAC ID: 8820217649
Enrollment ID: I20190618002973

Medical Identifiers

Medical identifiers for Dr Kelli Xenia Gross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154731685	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	51571 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Utah Hospitals And Clinics	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Adult Services	0941525273	1593
University Of Utah Adult Services	0941525273	1593

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kelli Xenia Gross allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelli Xenia Gross is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kelli Xenia Gross, MD 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 Ph: (801) 213-4500	Dr Kelli Xenia Gross, MD 5126 W Daybreak Pkwy, South Jordan, UT 84009-5994 Ph: (801) 213-4500

Dr Kelli Xenia Gross, MD - Medicare Urology in South Jordan, UT