DAVID L. RIESBERG MD
NPI 1114504024
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since March 26, 2021PECOS Enrolled
30 N 1900 E RM 1A071, SALT LAKE CITY, UT 84132(801) 581-2868 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2022, Mar 31, 2021, Mar 26, 2021 (3 updates tracked since 2021).

About David L. Riesberg Md NPPES

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

DAVID L. RIESBERG MD (NPI 1114504024) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (12952634-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114504024
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDAVID L. RIESBERGCredential: MD
Location Address30 N 1900 E RM 1A071Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 1a071Salt Lake City, UT 84132-0002 · (801) 581-2868
Sole ProprietorNo
Enumeration DateMarch 26, 2021
Last NPPES UpdateJuly 27, 20223 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
NPI 1114504024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in UT · 12952634-1205
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
30 N 1900 E RM 1A071, Salt Lake City, UT 84132

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David L. Riesberg Md 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.

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
$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 20

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

Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Neuroradiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132
Radiology (Diagnostic Radiology)
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 84132

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 David Riesberg's NPI number?

The NPI number for David Riesberg is 1114504024. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is David Riesberg located?

David Riesberg practices at 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132. The listed phone number is (801) 581-2868.

What is David Riesberg's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is David Riesberg enrolled in Medicare?

Yes. David Riesberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Riesberg was last updated on July 27, 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.