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DR. ANGELICA ROCIO PUTNAM MD
NPI 1083760607
Pathology - Anatomic Pathology & Clinical Pathology in Salt Lake City, UT

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
100 N MEDICAL DR, PRIMAY CHILDREN'S MEDICAL CENTER DEPT OF PATHOLOGY, SALT LAKE CITY, UT 84113(801) 662-2150(801) 662-2165 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Angelica Rocio Putnam Md NPPES

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

DR. ANGELICA ROCIO PUTNAM MD (NPI 1083760607) is an individual anatomic pathology & clinical pathology provider in Salt Lake City, Utah, licensed in Utah (5413955-1205) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2002).

NPPES Registry Identity

NPI1083760607
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ANGELICA ROCIO PUTNAMCredential: MD
Location Address100 N MEDICAL DR, PRIMAY CHILDREN'S MEDICAL CENTER DEPT OF PATHOLOGYSalt Lake City, UT 84113-1103
Mailing Address100 N Medical Dr, Primay Children's Medical Center Dept Of PathologySalt Lake City, UT 84113-1103 · (801) 662-2150 · Fax (801) 662-2165
Phone(801) 662-2150
Fax(801) 662-2165
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2002
Enumeration DateJanuary 26, 2007
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1083760607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in UT · 5413955-1205
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
100 N MEDICAL DR, Salt Lake City, UT 84113
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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 and accepts Medicare assignment

Dr. Angelica Rocio Putnam 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 ID7012083918
PECOS Enrollment IDI20080828000574
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 84113 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.

MRS. LISA ANN RUNYON CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, TRAUMA SERVICES
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2993
KATHERINE A HUGHES OT
Occupational Therapist
100 N MEDICAL DR
SLC, UT 84113
Salt Lake County (801) 588-2000
LINDA M LAMBERT A.P.R.N.
Nurse Practitioner
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MS. ANN A. K. KAMP APRN
Nurse Practitioner (Neonatal)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
UNIVERSITY OF UTAH GENERAL PEDIATRICS
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 588-2233
DR. TYSON STUART HORKLEY M.D.
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 267-1855
MS. DEBRA ANN TEMPLIN NP
Nurse Practitioner (Pediatrics, Critical Care)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2447
BONNIE ANN CLAY CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, 2800
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5566

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 Angelica Putnam's NPI number?

The NPI number for Angelica Putnam is 1083760607. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Angelica Putnam located?

Angelica Putnam practices at 100 N Medical Dr Primay Children's Medical Center Dept Of Pathology, Salt Lake City, UT 84113. The listed phone number is (801) 662-2150.

What is Angelica Putnam's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Angelica Putnam enrolled in Medicare?

Yes. Angelica Putnam 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.

When was this NPI record last updated?

The NPPES record for Angelica Putnam was last updated on December 1, 2021. 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.