GUSTAVO CARRILLO
NPI 1114542255
Physician Assistant in Salt Lake City, UT
About Gustavo Carrillo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUSTAVO CARRILLO (NPI 1114542255) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (12476377-1206) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Gustavo Carrillo 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gustavo Carrillo's NPI number?
The NPI number for Gustavo Carrillo is 1114542255. It was assigned to this individual provider in the NPPES registry on June 15, 2020.
Where is Gustavo Carrillo located?
Gustavo Carrillo practices at 610 S 200 E Ste B, Salt Lake City, UT 84111. The listed phone number is (602) 626-4835.
What is Gustavo Carrillo's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Gustavo Carrillo enrolled in Medicare?
Yes. Gustavo Carrillo 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.
What insurance does Gustavo Carrillo accept?
Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Gustavo Carrillo 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.
Is Gustavo Carrillo affiliated with any hospitals?
According to CMS data, Gustavo Carrillo is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Gustavo Carrillo was last updated on December 17, 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.
