AATQA MEMON - NPI 1194475723 - Psychiatry & Neurology in Salt Lake City, UT

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

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About Aatqa Memon NPPES

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

AATQA MEMON (NPI 1194475723) is an individual neurology provider in Salt Lake City, Utah, licensed in Utah (14281235-1205) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1194475723

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameAATQA MEMON

Location Address175 N MEDICAL DR RM 5001Salt Lake City, UT 84112-1103

Mailing Address175 N Medical Dr Rm 5001Salt Lake City, UT 84112-1103 · (801) 585-7575

Phone(801) 585-7575

Sole ProprietorNo

Enumeration DateMarch 26, 2022

Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1194475723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in UT · 14281235-1205

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

175 N MEDICAL DR RM 5001, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aatqa Memon 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 84112 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

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.