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REENA PATEL TAM M.D.
NPI 1215293667
Pediatrics in Salt Lake City, UT

Active since April 10, 2012PECOS Enrolled
295 CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 587-7400(801) 662-5755 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 23, 2021, Jan 16, 2018, Apr 21, 2017 (3 updates tracked since 2017).

About Reena Patel Tam M.d. NPPES

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

REENA PATEL TAM M.D. (NPI 1215293667) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (8790941-1205) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215293667
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameREENA PATEL TAMCredential: M.D.
Location Address295 CHIPETA WAYSalt Lake City, UT 84108-1287
Mailing Address100 N Mario Capecchi DrSalt Lake City, UT 84113-1103 · (801) 662-3645 · Fax (801) 662-3664
Phone(801) 587-7400
Fax(801) 662-5755
Sole ProprietorYes
Enumeration DateApril 10, 2012
Last NPPES UpdateNovember 23, 20213 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
✔ NPI 1215293667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 8790941-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
295 CHIPETA WAY, Salt Lake City, UT 84108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reena Patel Tam M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Reena Tam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Pediatric Services
0.7 mi
Pediatric Allergy/Immunology
81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1023472594 (801) 587-6336

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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
$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.

Other Providers at the Same Location NPPES 12

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

DR. AMY TREMAIN KIRK M.D.
Pediatrics (Neonatal-Perinatal Medicine)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7052
KIMBERLY STEVENSON SMITH FNP-C
Nurse Practitioner (Family)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 588-8276
DR. ALLISON ANNE KELLER M.D.
Emergency Medicine (Pediatric Emergency Medicine)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7450
MR. ERIC WALLACE GLISSMEYER MD
Pediatrics (Pediatric Emergency Medicine)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7450
MR. FRANCE A DAVIS II PA-C
Physician Assistant
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7575
CASIDEE THOMPSON
Student in an Organized Health Care Education/Training Program
295 CHIPETA WAY, SUITE 22
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-7766
TIFFANY KAE PROFSKY NP-C
Nurse Practitioner (Family)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7416
CAROLINE HAGEDORN RN, PNP
Nurse Practitioner (Pediatrics)
295 CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400

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 Reena Tam's NPI number?

The NPI number for Reena Tam is 1215293667. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Reena Tam located?

Reena Tam practices at 295 Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 587-7400.

What is Reena Tam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Reena Tam enrolled in Medicare?

Yes. Reena Tam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Reena Tam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reena Tam reassigns Medicare benefits to University Of Utah Pediatric Services (Salt Lake City, UT). The 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 Reena Tam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Reena Tam was last updated on November 23, 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.