SCOTT A TATUM
NPI 1205877842
Physician Assistant - Surgical in Salt Lake City, UT
About Scott A Tatum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT A TATUM (NPI 1205877842) is an individual surgical provider in Salt Lake City, Utah, licensed in Georgia (10064) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
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
Scott A Tatum 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GAMedicare 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
SALT LAKE CITY, UT 84124
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 Scott Tatum's NPI number?
The NPI number for Scott Tatum is 1205877842. It was assigned to this individual provider in the NPPES registry on June 8, 2006.
Where is Scott Tatum located?
Scott Tatum practices at 1160 E 3900 S Suite 2000, Salt Lake City, UT 84124. The listed phone number is (801) 266-3418.
What is Scott Tatum's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Scott Tatum enrolled in Medicare?
Yes. Scott Tatum 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.
Is Scott Tatum affiliated with any hospitals?
According to CMS data, Scott Tatum is affiliated with Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Scott Tatum was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Scott A Tatum · NPI 1205877842
Surgical physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1205877842 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 10064 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1160 E 3900 S, SUITE 2000, Salt Lake City, UT 84124-1202
- **Phone:** (801) 266-3418 · **Fax:** (801) 288-4444
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** February 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1205877842) · Data from the CMS NPPES public registry.