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MICHELLE PLOUTZ
NPI 1013144450
Pediatrics - Pediatric Cardiology in Salt Lake City, UT

Active since June 12, 2009PECOS Enrolled
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000(018) 213-7778 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2021, Jul 26, 2021, Mar 26, 2018 and 2 more (5 updates tracked since 2017).

About Michelle Ploutz NPPES

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

MICHELLE PLOUTZ (NPI 1013144450) is an individual pediatric cardiology provider in Salt Lake City, Utah, licensed in Utah (11260386-8905) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013144450
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameMICHELLE PLOUTZ
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814
Phone(801) 662-1000
Fax(018) 213-7778
Sole ProprietorNo
Enumeration DateJune 12, 2009
Last NPPES UpdateNovember 11, 20215 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
✔ NPI 1013144450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in UT · 11260386-8905✔ Licensed in AZ · 54407✔ Licensed in OH · 128528
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 128528 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Ploutz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Ploutz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
Same address
Pediatrics
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1497473375 (Utah)
  • 1,729 clinicians in this Medicare group
NPI 1003255464 (801) 662-1000
University Of Utah Pediatric Services
Same address
Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1063876100 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922
COURTNEY FARRELL NP
Nurse Practitioner (Neonatal)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Ploutz's NPI number?

The NPI number for Michelle Ploutz is 1013144450. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is Michelle Ploutz located?

Michelle Ploutz practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1000.

What is Michelle Ploutz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Michelle Ploutz enrolled in Medicare?

Yes. Michelle Ploutz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Ploutz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Ploutz reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Ploutz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Ploutz accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Michelle Ploutz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Ploutz was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.