DR. AZADEH E POURSAID MD, PHD
NPI 1104321744
Obstetrics & Gynecology in Salt Lake City, UT

Q: What is Azadeh Poursaid's NPI number?

The NPI number for Azadeh Poursaid is 1104321744. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Q: What is Azadeh Poursaid's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Azadeh Poursaid was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment

1140 E 3900 S STE 400, SALT LAKE CITY, UT 84124(801) 268-6811 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2025, Aug 22, 2022, Mar 27, 2018 (3 updates tracked since 2018).

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About Dr. Azadeh E Poursaid Md, Phd NPPES

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

DR. AZADEH E POURSAID MD, PHD (NPI 1104321744) is an individual obstetrics & gynecology provider in Salt Lake City, Utah, licensed in Utah (12914226-1205) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with St Mark's Hospital, and is a graduate of University Of Utah School Of Medicine (2018).

NPPES Registry Identity

NPI1104321744

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. AZADEH E POURSAIDCredential: MD, PHD

Location Address1140 E 3900 S STE 400Salt Lake City, UT 84124-1269

Mailing AddressPo Box 198546Atlanta, GA 30384-8546

Phone(801) 268-6811

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2018

Enumeration DateMarch 27, 2018

Last NPPES UpdateMarch 14, 20253 updates tracked since enumeration

NPPES CertifiedMarch 14, 2025

✔ NPI 1104321744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in UT · 12914226-1205

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1140 E 3900 S STE 400, Salt Lake City, UT 84124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.Insurance ›

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. Azadeh E Poursaid Md, Phd 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 ID7012268600

PECOS Enrollment IDI20220919001462

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460047

Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

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 9

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

SUSAN T HORVATH MD

Obstetrics & Gynecology