EVELYN C. LOOSE
NPI 1124103809
Anesthesiology in Salt Lake City, UT
About Evelyn C. Loose NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVELYN C. LOOSE (NPI 1124103809) is an individual anesthesiology provider in Salt Lake City, Utah, licensed in Utah (376409-1205) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Evelyn C. Loose 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.
Medicare Billing Reassignment
Medicare enrollment records show Evelyn Loose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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, UTMedicare 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
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 Evelyn Loose's NPI number?
The NPI number for Evelyn Loose is 1124103809. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is Evelyn Loose located?
Evelyn Loose practices at University Of Utah Health Sciences Ctr 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (801) 581-6393.
What is Evelyn Loose's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Evelyn Loose enrolled in Medicare?
Yes. Evelyn Loose 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.
Which organization bills Medicare for Evelyn Loose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Loose reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The 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 Evelyn Loose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Evelyn Loose affiliated with any hospitals?
According to CMS data, Evelyn Loose is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Evelyn Loose was last updated on November 18, 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.
# Evelyn C. Loose · NPI 1124103809
Anesthesiology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1124103809 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 376409-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** UNIVERSITY OF UTAH HEALTH SCIENCES CTR, 50 N MEDICAL DR, Salt Lake City, UT 84132-0001
- **Phone:** (801) 581-6393
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Adult Services (NPI 1003210808, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** November 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124103809) · Data from the CMS NPPES public registry.