SHRINERS HOSPITALS FOR CHILDREN
NPI 1033789755
Clinic/Center - Rehabilitation in Salt Lake City, UT
About Shriners Hospitals For Children NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHRINERS HOSPITALS FOR CHILDREN (NPI 1033789755) is a healthcare organization registered as a rehabilitation in Salt Lake City, Utah and active in the NPI registry since June 2021. The organization lists Jerry G. Gantt, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shriners Hospitals For Children is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Shriners Hospitals For Children, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 28Salt Lake City, UT 84103
Salt Lake City, UT 84132
Salt Lake City, UT 84103
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shriners Hospitals For Children's NPI number?
The NPI number for Shriners Hospitals For Children is 1033789755. It was assigned to this organization in the NPPES registry on June 25, 2021. The provider is also known as Shriners Hospitals for Children Rehabilitation Clinic.
Where is Shriners Hospitals For Children located?
Shriners Hospitals For Children is located at 1275 E Fairfax Rd, Salt Lake City, UT 84103. The listed phone number is (801) 536-3500.
What is Shriners Hospitals For Children's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.
Is Shriners Hospitals For Children enrolled in Medicare?
Yes. Shriners Hospitals For Children is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shriners Hospitals For Children?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 9 Medicare specialties reassign their Medicare billing to Shriners Hospitals For Children. A 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 the clinician's services. The largest specialties are Orthopedic Surgery (10), Physical Therapist in Private Practice (6) and Pediatric Medicine (3). Of these, 4 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Shriners Hospitals For Children accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Molina Healthcare and University of Utah Health Plans list Shriners Hospitals For Children 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 Shriners Hospitals For Children was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shriners Hospitals For Children · NPI 1033789755
Rehabilitation organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since June 25, 2021.
## Identity
- **NPI:** 1033789755 (Entity type: Organization)
- **Enumerated:** June 25, 2021
- **Primary specialty:** Clinic/Center - Rehabilitation · taxonomy 261QR0400X
- **Also known as:** Shriners Hospitals for Children Rehabilitation Clinic (Other Name)
- **Organization subpart:** No
- **Authorized official:** Jerry Gantt, PRESIDENT
## Practice location
- **Address:** 1275 E FAIRFAX RD, Salt Lake City, UT 84103-4324
- **Phone:** (801) 536-3500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (10), Physical Therapist in Private Practice (6), Pediatric Medicine (3); 4 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1033789755/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1033789755) · Data from the CMS NPPES public registry.