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LUIS B. FANDINO MD
NPI 1043770472
Orthopaedic Surgery in Salt Lake City, UT

Active since March 21, 2019PECOS Enrolled
590 S WAKARA WAY, SALT LAKE CITY, UT 84108(801) 587-5448 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2020, Mar 21, 2019 (2 updates tracked since 2019).

About Luis B. Fandino Md NPPES

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

LUIS B. FANDINO MD (NPI 1043770472) is an individual orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (11912760-1205) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043770472
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLUIS B. FANDINOCredential: MD
Location Address590 S WAKARA WAYSalt Lake City, UT 84108-1200
Mailing Address590 S Wakara WaySalt Lake City, UT 84108-1200 · (801) 587-5448
Phone(801) 587-5448
Sole ProprietorNo
Enumeration DateMarch 21, 2019
Last NPPES UpdateAugust 27, 20202 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1043770472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in UT · 11912760-1205
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
590 S WAKARA WAY, Salt Lake City, UT 84108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis B. Fandino Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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 20

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

KAYLA L. GATES MD
Orthopaedic Surgery
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-5448
THOMAS HONG MD
Student in an Organized Health Care Education/Training Program
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
ANDREW KOSTURIK
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
NAOMI RUTH LAIRD PA-C
Physician Assistant
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
DENNIS N. JACKSON MD
Emergency Medicine
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
TREVOR WILTZ DPT
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
DR. JOSHUA KURT JOHNSON DPT
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
MATTHEW J. SIEBERT MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-5448

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 Luis Fandino's NPI number?

The NPI number for Luis Fandino is 1043770472. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Luis Fandino located?

Luis Fandino practices at 590 S Wakara Way, Salt Lake City, UT 84108. The listed phone number is (801) 587-5448.

What is Luis Fandino's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Luis Fandino enrolled in Medicare?

Yes. Luis Fandino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luis Fandino was last updated on August 27, 2020. 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.