Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CHRISTOPHER RALPH DEFEO MD
NPI 1003506254
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT

Q: What is Christopher Defeo's NPI number?

The NPI number for Christopher Defeo is 1003506254. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Q: What is Christopher Defeo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Christopher Defeo was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2023PECOS Enrolled

295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 84108(801) 662-5700 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2026, Jan 20, 2026, May 11, 2023 (3 updates tracked since 2023).

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About Christopher Ralph Defeo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER RALPH DEFEO MD (NPI 1003506254) is an individual pediatric emergency medicine provider in Salt Lake City, Utah, licensed in Utah (14279269-1205) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bethlehem, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003506254

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameCHRISTOPHER RALPH DEFEOCredential: MD

Location Address295 S CHIPETA WAY RM 2S010Salt Lake City, UT 84108-1287

Mailing Address295 S Chipeta Way Rm 2s010Salt Lake City, UT 84108-1287 · (801) 662-5700

Phone(801) 662-5700

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 11, 2023

Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1003506254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in UT · 14279269-1205

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD493022 (PA)

295 S CHIPETA WAY RM 2S010, Salt Lake City, UT 84108

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Secondary Practice Location 1

Location 1801 Ostrum StBethlehem, PA 18015-1000 · Phone (866) 785-8537

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Ralph Defeo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880053206

PECOS Enrollment IDI20260115000465, I20260612001157

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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