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SETH M. ILLU MD
NPI 1043960396
Emergency Medicine - Emergency Medical Services in Salt Lake City, UT

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment
30 N MARIO CAPECDAI DR RM 2S200, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2025, Aug 6, 2025, Mar 3, 2025 (3 updates tracked since 2025).

About Seth M. Illu Md NPPES

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

SETH M. ILLU MD (NPI 1043960396) is an individual emergency medical services provider in Salt Lake City, Utah, licensed in Utah (14206975-1205) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Singing River Gulfport, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1043960396
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameSETH M. ILLUCredential: MD
Location Address30 N MARIO CAPECDAI DR RM 2S200Salt Lake City, UT 84112
Mailing Address30 N Mario Capecdai Dr Rm 2s200Salt Lake City, UT 84112 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2022
Last NPPES UpdateDecember 29, 20253 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1043960396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in UT · 14206975-1205
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
30 N MARIO CAPECDAI DR RM 2S200, Salt Lake City, UT 84112
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Secondary Practice Location 1

Location 1743 Spring St NE Ste 710Gainesville, GA 30501-3715 · Phone (770) 219-8730

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seth M. Illu Md 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 ID4284014655
PECOS Enrollment IDI20250729000288
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
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.

WILLIAM PAU DO
Emergency Medicine (Emergency Medical Services)
30 N MARIO CAPECDAI DR RM 2S200
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121

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 Seth Illu's NPI number?

The NPI number for Seth Illu is 1043960396. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Seth Illu located?

Seth Illu practices at 30 N Mario Capecdai Dr Rm 2s200, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Seth Illu's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Seth Illu enrolled in Medicare?

Yes. Seth Illu 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.

Is Seth Illu affiliated with any hospitals?

According to CMS data, Seth Illu is affiliated with Singing River Gulfport and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Seth Illu was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.