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JOSEPH ROBERT SHERBOTIE
NPI 1205915873
Pediatrics - Pediatric Nephrology in Salt Lake City, UT

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
100 N MEDICAL DR, SALT LAKE CITY, UT 84113(801) 581-2121 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joseph Robert Sherbotie NPPES

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

JOSEPH ROBERT SHERBOTIE (NPI 1205915873) is an individual pediatric nephrology provider in Salt Lake City, Utah, licensed in Utah (316204-1205) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Primary Children's Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1982).

NPPES Registry Identity

NPI1205915873
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameJOSEPH ROBERT SHERBOTIE
Location Address100 N MEDICAL DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 581100Salt Lake City, UT 84158-1100 · (801) 213-3800
Phone(801) 581-2121
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1982
Enumeration DateNovember 3, 2006
Last NPPES UpdateOctober 22, 2021
NPPES CertifiedOctober 22, 2021
✔ NPI 1205915873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in UT · 316204-1205
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
100 N MEDICAL DR, Salt Lake City, UT 84113
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Accepted Insurance

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

Joseph Robert Sherbotie 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 ID9739136615
PECOS Enrollment IDI20050402000009
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 Joseph Sherbotie 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 Pediatric Services
0.1 mi
Pediatrics
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1568826055 (801) 587-6336
Ihc Health Services Inc
0.1 mi
Pediatrics
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
NPI 1003255464 (801) 662-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Primary Children's Hospital

Childrens · Salt Lake City, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number463301
Location100 North Mario Capecchi DriveSalt Lake City, UT 84113 · Salt Lake County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier25 claims2,190 services$0.26 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims1,860 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier17 claims2,498 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers24 claims24 services$17.41 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers38 claims48 services$11.88 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 20

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

MRS. LISA ANN RUNYON CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, TRAUMA SERVICES
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2993
KATHERINE A HUGHES OT
Occupational Therapist
100 N MEDICAL DR
SLC, UT 84113
Salt Lake County (801) 588-2000
LINDA M LAMBERT A.P.R.N.
Nurse Practitioner
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MS. ANN A. K. KAMP APRN
Nurse Practitioner (Neonatal)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
UNIVERSITY OF UTAH GENERAL PEDIATRICS
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 588-2233
DR. TYSON STUART HORKLEY M.D.
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 267-1855
MS. DEBRA ANN TEMPLIN NP
Nurse Practitioner (Pediatrics, Critical Care)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2447
BONNIE ANN CLAY CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, 2800
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5566

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 Joseph Sherbotie's NPI number?

The NPI number for Joseph Sherbotie is 1205915873. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Joseph Sherbotie located?

Joseph Sherbotie practices at 100 N Medical Dr, Salt Lake City, UT 84113. The listed phone number is (801) 581-2121.

What is Joseph Sherbotie's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Joseph Sherbotie enrolled in Medicare?

Yes. Joseph Sherbotie 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 Joseph Sherbotie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Sherbotie reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Services (Salt Lake City, UT) and Ihc Health Services Inc (Salt Lake City, 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 Joseph Sherbotie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Sherbotie accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Joseph Sherbotie 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 Joseph Sherbotie affiliated with any hospitals?

According to CMS data, Joseph Sherbotie is affiliated with Primary Children's Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Sherbotie was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.