DANIEL MILES FIDLER
NPI 1063256659
Nurse Practitioner - Family in Salt Lake City, UT
About Daniel Miles Fidler NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL MILES FIDLER (NPI 1063256659) is an individual family provider in Salt Lake City, Utah, licensed in Utah (14024734-4405) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
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
Daniel Miles Fidler 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.
Medicare Billing Reassignment
Medicare enrollment records show Daniel Fidler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Midvale, UT 84047
- Reassigned Medicare billing, Utah enrollment
- 295 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALT LAKE CITY, UT 84119
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 Daniel Fidler's NPI number?
The NPI number for Daniel Fidler is 1063256659. It was assigned to this individual provider in the NPPES registry on June 19, 2024.
Where is Daniel Fidler located?
Daniel Fidler practices at 1525 W 2100 S, Salt Lake City, UT 84119. The listed phone number is (801) 213-9900.
What is Daniel Fidler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Daniel Fidler enrolled in Medicare?
Yes. Daniel Fidler 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 Daniel Fidler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Fidler reassigns Medicare benefits to University Of Utah Community Physicians Group (Midvale, UT). 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 Daniel Fidler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Daniel Fidler affiliated with any hospitals?
According to CMS data, Daniel Fidler is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Daniel Fidler was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Daniel Miles Fidler · NPI 1063256659
Family physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since June 19, 2024.
## Identity
- **NPI:** 1063256659 (Entity type: Individual)
- **Enumerated:** June 19, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 14024734-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1525 W 2100 S, Salt Lake City, UT 84119-1407
- **Phone:** (801) 213-9900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Community Physicians Group (NPI 1528462231, Midvale, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** March 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063256659) · Data from the CMS NPPES public registry.