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OLIVIER MUTAH MULYANGOTE P.A.
NPI 1215262944
Physician Assistant in Salt Lake City, UT

Active since October 14, 2009PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
3195 S MAIN ST, SUITE 200, SALT LAKE CITY, UT 84115(801) 468-0354(801) 468-0353 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olivier Mutah Mulyangote P.a. NPPES

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

OLIVIER MUTAH MULYANGOTE P.A. (NPI 1215262944) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (74589851206) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Utah School Of Medicine (2009).

NPPES Registry Identity

NPI1215262944
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameOLIVIER MUTAH MULYANGOTECredential: P.A.
Location Address3195 S MAIN ST, SUITE 200Salt Lake City, UT 84115-3749
Mailing Address3195 S Main St, Suite 200Salt Lake City, UT 84115-3749 · (801) 468-0354 · Fax (801) 468-0353
Phone(801) 468-0354
Fax(801) 468-0353
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2009
Enumeration DateOctober 14, 2009
Last NPPES UpdateMay 2, 2023
NPPES CertifiedMay 2, 2023
✔ NPI 1215262944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 74589851206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3195 S MAIN ST, Salt Lake City, UT 84115
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olivier Mutah Mulyangote P.a. 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 ID7719150580
PECOS Enrollment IDI20111024000685
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.

Areas of Expertise CMS Part B claims 3

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 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.
99 services73 patients
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.
43 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84115 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare 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.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. DONALD GARY TOLBOE D.D.S.
Dentist (General Practice)
3195 S MAIN ST
SALT LAKE CITY, UT 84115
Salt Lake County (801) 468-0342
PATRIOTMED OF KANSAS, P.A.
Clinic/Center (Radiology)
3195 S MAIN ST
SOUTH SALT LAKE, UT 84115
Salt Lake County (480) 369-1270

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 Olivier Mulyangote's NPI number?

The NPI number for Olivier Mulyangote is 1215262944. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Where is Olivier Mulyangote located?

Olivier Mulyangote practices at 3195 S Main St Suite 200, Salt Lake City, UT 84115. The listed phone number is (801) 468-0354.

What is Olivier Mulyangote's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Olivier Mulyangote enrolled in Medicare?

Yes. Olivier Mulyangote 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.

What insurance does Olivier Mulyangote accept?

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

According to CMS data, Olivier Mulyangote is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Olivier Mulyangote was last updated on May 2, 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.