ANDREW DANIEL FONTES D.O.
NPI 1174056758
Pediatrics - Pediatric Critical Care Medicine in Salt Lake City, UT

Q: What is Andrew Fontes's NPI number?

The NPI number for Andrew Fontes is 1174056758. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Q: What is Andrew Fontes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Fontes was last updated on June 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2017PECOS Enrolled

295 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 587-7572 Get Directions Write a Review

NPPES record last updated: June 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2020, Apr 14, 2017 (2 updates tracked since 2017).

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About Andrew Daniel Fontes D.o. NPPES

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

ANDREW DANIEL FONTES D.O. (NPI 1174056758) is an individual pediatric critical care medicine provider in Salt Lake City, Utah, licensed in Utah (11709353-1204) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174056758

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameANDREW DANIEL FONTESCredential: D.O.

Location Address295 S CHIPETA WAYSalt Lake City, UT 84108-1287

Mailing Address295 S Chipeta WaySalt Lake City, UT 84108-1287 · (801) 587-7572

Phone(801) 587-7572

Sole ProprietorNo

Enumeration DateApril 10, 2017

Last NPPES UpdateJune 5, 20202 updates tracked since enumeration

NPPES CertifiedJune 5, 2020

✔ NPI 1174056758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in UT · 11709353-1204

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

295 S CHIPETA WAY, Salt Lake City, UT 84108

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Daniel Fontes D.o. 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.

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