1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Dermatology
  6. NPI Profile

BAHMAN SOTOODIAN MD, FRCP(C), FAAD
NPI 1023589611
Dermatology in Salt Lake City, UT

Active since December 08, 2018PECOS EnrolledAccepts Medicare Assignment
440 W 200 S STE 250, SALT LAKE CITY, UT 84101(801) 595-1600 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2021, Dec 8, 2018 (2 updates tracked since 2018).

About Bahman Sotoodian Md, Frcp(c), Faad NPPES

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

BAHMAN SOTOODIAN MD, FRCP(C), FAAD (NPI 1023589611) is an individual dermatology provider in Salt Lake City, Utah, licensed in Utah (11062773-1205) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Un Of British Columbia, Faculty Of Medicine (2013).

NPPES Registry Identity

NPI1023589611
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameBAHMAN SOTOODIANCredential: MD, FRCP(C), FAAD
Location Address440 W 200 S STE 250Salt Lake City, UT 84101-1462
Mailing Address50 S 500 W Apt 321Salt Lake City, UT 84101-1295 · (518) 801-7415
Phone(801) 595-1600
Sole ProprietorNo
Medical School CMSUn Of British Columbia, Faculty Of MedicineGraduated 2013
Enumeration DateDecember 8, 2018
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
✔ NPI 1023589611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 11062773-1205
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
440 W 200 S STE 250, Salt Lake City, UT 84101
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bahman Sotoodian Md, Frcp(c), Faad is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547673998
PECOS Enrollment IDI20210105000277
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 Reassignment

Medicare enrollment records show Bahman Sotoodian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
537 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

GATEWAY AESTHEETIC INSTITUTE& LASER CENTER
Special Hospital
440 W 200 S STE 250
SALT LAKE CITY, UT 84101
Salt Lake County (801) 595-1600

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 Bahman Sotoodian's NPI number?

The NPI number for Bahman Sotoodian is 1023589611. It was assigned to this individual provider in the NPPES registry on December 8, 2018.

Where is Bahman Sotoodian located?

Bahman Sotoodian practices at 440 W 200 S Ste 250, Salt Lake City, UT 84101. The listed phone number is (801) 595-1600.

What is Bahman Sotoodian's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Bahman Sotoodian enrolled in Medicare?

Yes. Bahman Sotoodian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bahman Sotoodian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bahman Sotoodian reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Bahman Sotoodian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bahman Sotoodian was last updated on December 17, 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.