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JENNIFER GOLDMAN MD, MRP
NPI 1063665032
Pediatrics in Salt Lake City, UT

Active since November 04, 2008PECOS EnrolledAccepts Medicare Assignment
UNIVERSITY PEDIATRIC CLINIC, 50 N MEDICAL DRIVE, SALT LAKE CITY, UT 84132(801) 581-2321 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 18, 2022, Sep 8, 2022, Dec 2, 2021 (3 updates tracked since 2021).

About Jennifer Goldman Md, Mrp NPPES

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

JENNIFER GOLDMAN MD, MRP (NPI 1063665032) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (7471332-1205) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2008).

NPPES Registry Identity

NPI1063665032
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNIFER GOLDMANCredential: MD, MRP
Location AddressUNIVERSITY PEDIATRIC CLINIC, 50 N MEDICAL DRIVESalt Lake City, UT 84132-0001
Mailing Address295 Chipeta Way, Department Of PediatricsSalt Lake City, UT 84108-1287 · (801) 581-1017
Phone(801) 581-2321
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2008
Enumeration DateNovember 4, 2008
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1063665032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 7471332-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neurodevelopmental DisabilitiesTaxonomy 2080P0008X · License 7471332-1205 (UT)
UNIVERSITY PEDIATRIC CLINIC, Salt Lake City, UT 84132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Jennifer Goldman Md, Mrp 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 ID5193043545
PECOS Enrollment IDI20150414002531
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Goldman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Pediatric Services
0.1 mi
Pediatric Otolaryngology
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1063876100 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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.

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 Jennifer Goldman's NPI number?

The NPI number for Jennifer Goldman is 1063665032. It was assigned to this individual provider in the NPPES registry on November 4, 2008.

Where is Jennifer Goldman located?

Jennifer Goldman practices at University Pediatric Clinic 50 N Medical Drive, Salt Lake City, UT 84132. The listed phone number is (801) 581-2321.

What is Jennifer Goldman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennifer Goldman enrolled in Medicare?

Yes. Jennifer Goldman 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 Jennifer Goldman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Goldman reassigns Medicare benefits to University Of Utah Pediatric Services (Salt Lake City, 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 Jennifer Goldman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Goldman accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Jennifer Goldman 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 Jennifer Goldman was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.