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EMILY A. SIERAKOWSKI MD
NPI 1104454008
Pediatrics - Hospice and Palliative Medicine in Salt Lake City, UT

Active since March 28, 2020PECOS Enrolled
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2026, Nov 20, 2025, Sep 21, 2021 and 1 more (4 updates tracked since 2020).

About Emily A. Sierakowski Md NPPES

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

EMILY A. SIERAKOWSKI MD (NPI 1104454008) is an individual hospice and palliative medicine provider in Salt Lake City, Utah, licensed in Utah (12407610-1205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kalispell, and is a graduate of University Of Minnesota, Duluth School Of Medicine (2020).

NPPES Registry Identity

NPI1104454008
Entity TypeIndividualFemale
Primary Taxonomy2080H0002X
Provider Legal NameEMILY A. SIERAKOWSKICredential: MD
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing Address81 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · (801) 662-5701
Phone(801) 581-2121
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota, Duluth School Of MedicineGraduated 2020
Enumeration DateMarch 28, 2020
Last NPPES UpdateMarch 27, 20264 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1104454008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080H0002X
License✔ Licensed in UT · 12407610-1205
Definition
A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedPediatricsTaxonomy 208000000X · License 12407610-1205 (UT), 165424 (MT)
50 N MEDICAL DR, Salt Lake City, UT 84132
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Secondary Practice Location 1

Location 1310 Sunnyview LnKalispell, MT 59901-3129 · Phone (406) 751-5310 · Fax (406) 751-3068

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans 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 (PECOS)

Emily A. Sierakowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254736259
PECOS Enrollment IDI20260105002715
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 Reassignments

2

Medicare enrollment records show Emily Sierakowski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
0.1 mi
Pediatric Radiology
100 MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1053664680 (801) 442-3156
Kalispell Regional Medical Center Inc
490 mi
Family Medicine
106 RIDGEWATER DR STE A
Polson, MT 59860
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1528386802 (406) 883-3200

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

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.

UNIVERSITY OF UTAH ADULT SERVICES
Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-6336
ADAM PORTER MOTR/L
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2119
DR. ERICA JANE ALEXANDRA COLVIN MD
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
MEGAN MEIER MD
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
STACI LEE GUNTER PA-C
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6908
MATTHEW D. O'DELL MD
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899
WATARU HORIGUCHI
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2121
JEANELLE WEBB
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Salt Lake County (925) 510-0868

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 Emily Sierakowski's NPI number?

The NPI number for Emily Sierakowski is 1104454008. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Emily Sierakowski located?

Emily Sierakowski practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.

What is Emily Sierakowski's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Hospice and Palliative Medicine, with taxonomy code 2080H0002X.

Is Emily Sierakowski enrolled in Medicare?

Yes. Emily Sierakowski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emily Sierakowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Sierakowski reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (Salt Lake City, UT) and Kalispell Regional Medical Center Inc (Polson, MT). Each 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 Emily Sierakowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Sierakowski accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans, Providence Health Plan and Select Health list Emily Sierakowski 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 Emily Sierakowski was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.