Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REZA NASROLLAHZADEH DO
NPI 1053013680
Internal Medicine - Sleep Medicine in Salt Lake City, UT

Q: What is Reza Nasrollahzadeh's NPI number?

The NPI number for Reza Nasrollahzadeh is 1053013680. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Reza Nasrollahzadeh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Active since March 20, 2023PECOS Enrolled

30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112(801) 408-3617 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Mar 20, 2023 (2 updates tracked since 2023).

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About Reza Nasrollahzadeh Do NPPES

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

REZA NASROLLAHZADEH DO (NPI 1053013680) is an individual sleep medicine provider in Salt Lake City, Utah, licensed in Utah (14283601-1204) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1053013680

Entity TypeIndividualMale

Primary Taxonomy207RS0012X

Provider Legal NameREZA NASROLLAHZADEHCredential: DO

Location Address30 N MARIO CAPECCHI DR RM 3N100Salt Lake City, UT 84112

Mailing Address30 N Mario Capecchi Dr Rm 3n100Salt Lake City, UT 84112 · (801) 408-3617

Phone(801) 408-3617

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1053013680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0012X

License✔ Licensed in UT · 14283601-1204

Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

30 N MARIO CAPECCHI DR RM 3N100, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 110175 Gateway Blvd W Ste 140El Paso, TX 79925-7618 · Phone (915) 283-3953 · Fax (915) 283-3954

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reza Nasrollahzadeh Do 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 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

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 20

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

DR. MERIDETH BROOKE CHILTON MD

Internal Medicine (Nephrology)