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FREDERICK L GOTTLIEB MD
NPI 1174532931
Internal Medicine - Geriatric Medicine in Salt Lake City, UT

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
UNIVERSITY OF UTAH, 50, SALT LAKE CITY, UT 84132(801) 581-2628 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Frederick L Gottlieb Md NPPES

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

FREDERICK L GOTTLIEB MD (NPI 1174532931) is an individual geriatric medicine provider in Salt Lake City, Utah, licensed in Utah (177082-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of West Virginia University School Of Medicine (1984).

NPPES Registry Identity

NPI1174532931
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameFREDERICK L GOTTLIEBCredential: MD
Location AddressUNIVERSITY OF UTAH, 50Salt Lake City, UT 84132-0100
Mailing AddressUniversity Of Utah Adult Services, Po Box 413033Salt Lake City, UT 84141-3033 · (801) 213-3900
Phone(801) 581-2628
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1984
Enumeration DateAugust 7, 2006
Last NPPES UpdateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1174532931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in UT · 177082-1205
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
UNIVERSITY OF UTAH, Salt Lake City, UT 84132
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

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

Frederick L Gottlieb Md 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.

PECOS PAC ID9335053263
PECOS Enrollment IDI20051026001229
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 Frederick Gottlieb reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
0.8 mi
Otolaryngology
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1003210808 (801) 587-6336
Physician Group Of Utah Inc
14 mi
Specialist
406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 254 clinicians in this Medicare group
NPI 1477676930 (801) 984-3418

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 4

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
298 services116 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
109 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services50 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
15 services11 patients

Hospital Affiliations CMS Care Compare 2

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, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims1,650 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers12 claims1,770 services$1.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. MICHAEL ADAM RUBIN MD
Internal Medicine (Infectious Disease)
UNIVERSITY OF UTAH, 50 NORTH MEDICAL DRIVE
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2031
DR. JUSTIN JAMES MACKENZIE PH.D.
Psychologist
UNIVERSITY OF UTAH, 30 NORTH 1900 EAST, 1B620 SOM
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6228
DR. ERIC M LINDLEY M.D.
Internal Medicine (Interventional Cardiology)
UNIVERSITY OF UTAH
SALT LAKE CITY, UT 84132
Salt Lake County (801) 455-8321
CATHERINE WICK PHARMD
Pharmacist
UNIVERSITY OF UTAH, DIVISION OF ID; 30 N 1900 E
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-3567
BITA TRISTANI-FIROUZI
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF UTAH
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7498
DR. GEORGE MICHAEL SAMADASHWILY M.D PH.D
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF UTAH, 30 NORTH 1900 EAST 4A330
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6465

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 Frederick Gottlieb's NPI number?

The NPI number for Frederick Gottlieb is 1174532931. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Frederick Gottlieb located?

Frederick Gottlieb practices at University Of Utah 50, Salt Lake City, UT 84132. The listed phone number is (801) 581-2628.

What is Frederick Gottlieb's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Frederick Gottlieb enrolled in Medicare?

Yes. Frederick Gottlieb 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 organizations bill Medicare for Frederick Gottlieb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Gottlieb reassigns Medicare benefits to 2 organizations: University Of Utah Adult Services (Salt Lake City, UT) and Physician Group Of Utah Inc (South Jordan, UT). 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 Frederick Gottlieb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Frederick Gottlieb accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Frederick Gottlieb 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 Frederick Gottlieb affiliated with any hospitals?

According to CMS data, Frederick Gottlieb is affiliated with University Of Utah Hospitals And Clinics and Intermountain Health Alta View Hospital.

When was this NPI record last updated?

The NPPES record for Frederick Gottlieb was last updated on November 2, 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.