University Of Utah Surgical Services - Medicare Primary Care in Salt Lake City, UT

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University Of Utah Surgical Services is a medicare enrolled primary clinic (General Practice) in Salt Lake City, Utah. The current practice location for University Of Utah Surgical Services is 50 N Medical Dr, Salt Lake City, Utah. For appointments, you can reach them via phone at (801) 581-2121. The mailing address for University Of Utah Surgical Services is Po Box 413030, Salt Lake City, Utah and phone number is (801) 213-3900.

University Of Utah Surgical Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174928139. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 581-2121.

Contact Information

University Of Utah Surgical Services
50 N Medical Dr
Salt Lake City
UT 84132-0001
(801) 581-2121
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameUniversity Of Utah Surgical Services
SpecialityGeneral Practice
Location50 N Medical Dr, Salt Lake City, Utah
Authorized Official Name and PositionSean Mulvihill (CHIEF MEDICAL OFFICER)
Authorized Official Contact8015876336
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
University Of Utah Surgical Services
Po Box 413030
Salt Lake City
UT 84141-3030

Ph: (801) 213-3900		University Of Utah Surgical Services
50 N Medical Dr
Salt Lake City
UT 84132-0001

Ph: (801) 581-2121

NPI Details:

NPI Number1174928139
Provider Enumeration Date11/03/2014
Last Update Date11/03/2014

Medicare PECOS Information:

Medicare PECOS PAC ID6002130481
Medicare Enrollment IDO20150112002158

Medical Identifiers

Medical identifiers for University Of Utah Surgical Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174928139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. University Of Utah Surgical Services acts as a billing entity for following providers:
Provider NameDarrel S Brodke
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1407800311
PECOS PAC ID: 9537121587
Enrollment ID: I20041101001215
Provider NameHilary F Saunders
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972553014
PECOS PAC ID: 3870556806
Enrollment ID: I20041110000346
Provider NameMeic Schmidt
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1740365436
PECOS PAC ID: 8123073483
Enrollment ID: I20050318000844
Provider NameDaniel W Fults
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1396835997
PECOS PAC ID: 5395790661
Enrollment ID: I20050318000867
Provider NameWilliam Tupper Couldwell
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1265522858
PECOS PAC ID: 9739134008
Enrollment ID: I20050318000877
Provider NameJoel D Macdonald
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1487744090
PECOS PAC ID: 5991750267
Enrollment ID: I20050318000883
Provider NameBrent Lee Clyde
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1700896552
PECOS PAC ID: 6103724679
Enrollment ID: I20050823000109
Provider NameCharles L Saltzman
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1962583146
PECOS PAC ID: 2567488125
Enrollment ID: I20051021000928
Provider NameCorey Sigi Ames
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427039114
PECOS PAC ID: 8527078773
Enrollment ID: I20060502000658
Provider NameMary T Towns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174713788
PECOS PAC ID: 9931289733
Enrollment ID: I20080107000389
Provider NameAndrew T Dailey
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1881706596
PECOS PAC ID: 0244280089
Enrollment ID: I20081208000657
Provider NameErica F Bisson
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1750409520
PECOS PAC ID: 9335228766
Enrollment ID: I20090914000567
Provider NameAmy Larae Cruz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871751297
PECOS PAC ID: 7810043817
Enrollment ID: I20090916000311
Provider NameBrandon D Lawrence
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1659555670
PECOS PAC ID: 0143376053
Enrollment ID: I20090917000678
Provider NameRobert S Hood
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1518973767
PECOS PAC ID: 9537166590
Enrollment ID: I20100129000200
Provider NameEmily I Erickson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376872952
PECOS PAC ID: 8628112943
Enrollment ID: I20100224000232
Provider NameDouglas L Brockmeyer
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1942390521
PECOS PAC ID: 9931237534
Enrollment ID: I20100430000696
Provider NameRandy L Jensen
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1982794582
PECOS PAC ID: 1355465485
Enrollment ID: I20100826000593
Provider NameJohn R Kestle
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1871683474
PECOS PAC ID: 4385760586
Enrollment ID: I20100924000852
Provider NameRichard H Schmidt
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1235219130
PECOS PAC ID: 1759573462
Enrollment ID: I20101012001284
Provider NameHoward Colman
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1437258498
PECOS PAC ID: 4183740418
Enrollment ID: I20101013000193
Provider NameChad D Cole
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1386832970
PECOS PAC ID: 7416104682
Enrollment ID: I20120822000498
Provider NamePhilipp Taussky
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1982837084
PECOS PAC ID: 8325299134
Enrollment ID: I20121102000442
Provider NameRobert J Bollo
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1013129584
PECOS PAC ID: 6305017286
Enrollment ID: I20130426000289
Provider NameBreeanna Jean Holdaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962749010
PECOS PAC ID: 6608013966
Enrollment ID: I20130506000523
Provider NameWilliam R Spiker
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1639324049
PECOS PAC ID: 2769639251
Enrollment ID: I20130819000191
Provider NameMark A Mahan
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1477733426
PECOS PAC ID: 8921227745
Enrollment ID: I20140909002865
Provider NameNicholas T Spina
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1841422631
PECOS PAC ID: 2163649799
Enrollment ID: I20140918000210
Provider NameKaren Yi Mueller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124321260
PECOS PAC ID: 9234456633
Enrollment ID: I20150324001228
Provider NameDaniel Hovey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255715868
PECOS PAC ID: 5193031292
Enrollment ID: I20150904000036
Provider NameSarah Menacho
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1861645087
PECOS PAC ID: 7517198724
Enrollment ID: I20160122001698
Provider NameMohammad Yashar Kalani
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1285861153
PECOS PAC ID: 1052600863
Enrollment ID: I20160518001187
Provider NameBeverly North
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750727574
PECOS PAC ID: 9830406909
Enrollment ID: I20160810001872
Provider NameJuneyoung L Chavez
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1376778639
PECOS PAC ID: 9739479957
Enrollment ID: I20160816000554
Provider NameJohn Rolston
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1871892091
PECOS PAC ID: 0143512202
Enrollment ID: I20170622002513
Provider NameYair Menachem Gozal
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1356630818
PECOS PAC ID: 3678705332
Enrollment ID: I20170626002910
Provider NameSamuel H Cheshier
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1790942043
PECOS PAC ID: 4486841541
Enrollment ID: I20180109001843
Provider NameCraig H Rabb
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1538108931
PECOS PAC ID: 1951395292
Enrollment ID: I20180213002250
Provider NameRamesh Grandhi
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1316179195
PECOS PAC ID: 4486872322
Enrollment ID: I20180313000407
Provider NameMichael A Cohen
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1730479817
PECOS PAC ID: 0345595161
Enrollment ID: I20180620000484
Provider NameMarcus D Mazur
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1104141647
PECOS PAC ID: 1254561772
Enrollment ID: I20180709000879
Provider NameJoe Sammy Mendez
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1578819827
PECOS PAC ID: 7911136106
Enrollment ID: I20181004002890
Provider NameSilvia Gesheva Baxter
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1912297920
PECOS PAC ID: 4789983677
Enrollment ID: I20181102001288
Provider NameArundhati Biswas
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1326297565
PECOS PAC ID: 5092872309
Enrollment ID: I20190618001191
Provider NameSerge Makarenko
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1487216818
PECOS PAC ID: 5890127658
Enrollment ID: I20191115001449
Provider NameVance L Fredrickson
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1073957312
PECOS PAC ID: 1759674559
Enrollment ID: I20200716002155
Provider NameTodd Hollon
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1295176014
PECOS PAC ID: 8628383650
Enrollment ID: I20200717000217
Provider NameCraig J Kilburg
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1154611697
PECOS PAC ID: 9537391446
Enrollment ID: I20200810002069
Provider NameMaria Schmitt Mantenuto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538603766
PECOS PAC ID: 6103181631
Enrollment ID: I20210105003116
Provider NameBhavani Kura
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1144540303
PECOS PAC ID: 9133410624
Enrollment ID: I20210316003024
Provider NameAmy A Still
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073798203
PECOS PAC ID: 9133537855
Enrollment ID: I20210419002013
Provider NameMichael Karsy
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1972845345
PECOS PAC ID: 8628299534
Enrollment ID: I20210514000647
Provider NameCharles Blair Stillerman
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1477628667
PECOS PAC ID: 8921140872
Enrollment ID: I20210514000842
Provider NameRobert C Rennert
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1477966851
PECOS PAC ID: 1254749351
Enrollment ID: I20210726002960
Provider NameZoya Voronovich
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1215356589
PECOS PAC ID: 1254550502
Enrollment ID: I20210910001958
Provider NameShervin Rahimpour
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1033543541
PECOS PAC ID: 7214334283
Enrollment ID: I20210920000704
Provider NameSheela Vivekanandan
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1447695937
PECOS PAC ID: 3375847809
Enrollment ID: I20220712003041
Provider NameKarol Pawel Budohoski
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1679162408
PECOS PAC ID: 0446664056
Enrollment ID: I20220818002426
Provider NameBen Shofty
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1699304022
PECOS PAC ID: 4284017567
Enrollment ID: I20220818003407
Provider NameBrian Karamian
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1629465182
PECOS PAC ID: 8921407958
Enrollment ID: I20220830002435
Provider NameAlexander Winkler-schwartz
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1407595010
PECOS PAC ID: 2668848722
Enrollment ID: I20221014002436
Provider NameRachna Malani
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1366700635
PECOS PAC ID: 2668722406
Enrollment ID: I20221201001911
Provider NameKarlee Kiercy Curtis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750993374
PECOS PAC ID: 5395105340
Enrollment ID: I20230721001894
Provider NameDaniel Umansky
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1568142958
PECOS PAC ID: 2264895705
Enrollment ID: I20230830003263
Provider NameFarshad Nassiri
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1689352320
PECOS PAC ID: 5294181657
Enrollment ID: I20231023000430
Provider NameNatosha L Tullos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053182980
PECOS PAC ID: 2264877976
Enrollment ID: I20240304001057

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.