BARBORA DVORAKOVA NELSON DO
NPI 1093014425
Pediatrics in Salt Lake City, UT

Q: What is Barbora Nelson's NPI number?

The NPI number for Barbora Nelson is 1093014425. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Q: What is Barbora Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Barbora Nelson was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 24, 2011PECOS Enrolled

2000 S 900 E, SALT LAKE CITY, UT 84105(801) 464-7788 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Barbora Dvorakova Nelson Do NPPES

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

BARBORA DVORAKOVA NELSON DO (NPI 1093014425) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (8957515-1204) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093014425

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameBARBORA DVORAKOVA NELSONCredential: DO

Location Address2000 S 900 ESalt Lake City, UT 84105-3208

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 464-7788

Phone(801) 464-7788

Sole ProprietorYes

Enumeration DateMarch 24, 2011

Last NPPES UpdateJune 23, 2016

✔ NPI 1093014425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in UT · 8957515-1204✔ Licensed in IL · 125059118

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.

2000 S 900 E, Salt Lake City, UT 84105

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Barbora Dvorakova Nelson 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.

Medicare Billing Reassignment

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

Ihc Health Services Inc

Same address

Pediatrics

2000 S 900 E
Salt Lake City, UT 84105

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1205963949 (801) 464-7788

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 84105 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 20

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

SHAWN T ALLMAN D.O.

Internal Medicine