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U-U PEDIATRIC DERMATOLOGY
NPI 1235339193
Dermatology - Pediatric Dermatology in Salt Lake City, UT

Active since July 19, 2007
100 N MEDICAL DR, SALT LAKE CITY, UT 84113(801) 587-6340(801) 587-6346 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2025, Feb 24, 2025, Feb 7, 2025 and 4 more (7 updates tracked since 2019).

About U-u Pediatric Dermatology NPPES

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

U-U PEDIATRIC DERMATOLOGY (NPI 1235339193) is a healthcare organization registered as a pediatric dermatology in Salt Lake City, Utah and active in the NPI registry since July 2007. The organization lists Kristina Callis Duffin, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1235339193
Entity TypeOrganization
Primary Taxonomy207NP0225X
Legal Business NameU-U PEDIATRIC DERMATOLOGY
Location Address100 N MEDICAL DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 841052Los Angeles, CA 90084-1450 · (801) 587-6340 · Fax (801) 587-6346
Phone(801) 587-6340
Fax(801) 587-6346
Organization SubpartNo
Authorized OfficialKristina Callis DuffinChief Clinical Officer · (801) 587-6336
Enumeration DateJuly 19, 2007
Last NPPES UpdateMarch 4, 20257 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1235339193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Pediatric DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NP0225X
License✔ Licensed in UT · 2752851205
Definition
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.
100 N MEDICAL DR, Salt Lake City, UT 84113
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

U-u Pediatric Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

39

Medicare enrollment records show 39 clinicians reassign Medicare billing to U-U Pediatric Dermatology, which bills Medicare for the services they deliver. Of these, 27 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Dermatology30
Allergy/Immunology3
Pediatric Medicine3
Nurse Practitioner2
Pathology1

Nearest to this location (20)

See all 39
Anneli Bowen, M.D.
Dermatology
NPI 1437175825
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-2955
✔ PECOS✔ Accepts Medicare0.1 mi
Christopher Hansen, M.D.
Dermatology
NPI 1114077849
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 587-6340
✔ PECOS✔ Accepts Medicare0.1 mi
Christopher Hull, M.D.
Dermatology
NPI 1477659746
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-2955
✔ PECOS✔ Accepts Medicare0.1 mi
Bethany Lewis, M.D., M.P.H
Dermatology
NPI 1215181797
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-2955
✔ PECOS✔ Accepts Medicare0.1 mi
Marta Petersen, M.D.
Dermatology
NPI 1972601508
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-2955
✔ PECOS✔ Accepts Medicare0.1 mi
Richard Sontheimer, MD
Dermatology
NPI 1376511600
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 587-6340
✔ PECOS✔ Accepts Medicare0.1 mi
David Wada, MD
Pathology
NPI 1043411168
50 N MEDICAL DR # E13
Salt Lake City, UT 84132
(801) 581-2955
✔ PECOS✔ Accepts Medicare0.1 mi
John Zone, M.D.
Dermatology
NPI 1336235068
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-2955
✔ PECOS✔ Accepts Medicare0.1 mi
Stephanie Zone, MD
Dermatology
NPI 1124233242
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 587-6340
✔ PECOS✔ Accepts Medicare0.1 mi
Sarah Cipriano, MD
Dermatology
NPI 1982930426
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 581-2955
✔ PECOS✔ Accepts Medicare0.1 mi
Hannah Duffey
Pediatric Medicine
NPI 1487997532
100 MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 662-5700
✔ PECOS✔ Accepts Medicare0.1 mi
Jamie Schlarbaum, MD
Dermatology
NPI 1437779931
30 N MARIO CAPECCHI DRIVE DEPARTMENT OF DERMATOLOGY
Salt Lake City, UT 84112
(801) 581-2955
✔ PECOS✔ Accepts Medicare0.2 mi
Amy Theos, MD
Dermatology
NPI 1811917735
81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 581-2955
✔ PECOS✔ Accepts Medicare0.2 mi
Spencer Bertoch, M.D.
Dermatology
NPI 1972952695
30 N 1900 E # 4A330
Salt Lake City, UT 84132
(801) 581-6465
✔ PECOS✔ Accepts Medicare0.3 mi
Dekker Deacon, M.D., PH.D.
Dermatology
NPI 1871024372
30 N 1900 E RM 4A330
Salt Lake City, UT 84132
(801) 581-2121
✔ PECOS✔ Accepts Medicare0.3 mi
Keith Duffy, M.D.
Dermatology
NPI 1770779050
UNIVERSITY OF UTAH DEPT OF 50 N MEDICAL DR
Salt Lake City, UT 84112
(801) 587-6340
✔ PECOS✔ Accepts Medicare0.5 mi
Elise Burger, MD, PHD
Dermatology
NPI 1558820944
30 N 1900 E # 4A330
Salt Lake City, UT 84132
(801) 581-6465
✔ PECOS2.7 mi
Megan Prouty, MD
Dermatology
NPI 1649633678
1280 E STRINGHAM AVE
Salt Lake City, UT 84106
(801) 581-2955
✔ PECOS✔ Accepts Medicare3.7 mi
Margaret Cocks, M.D.
Dermatology
NPI 1558782276
30 N 1900 E RM 4A330
Salt Lake City, UT 84132
(801) 581-5509
✔ PECOS✔ Accepts Medicare4.6 mi
Nisma Mujahid, MD, PHD
Dermatology
NPI 1154881258
30 N 1900 E RM 4A330
Salt Lake City, UT 84132
(801) 581-5509
✔ PECOS✔ Accepts Medicare4.6 mi
See all 39 clinicians

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

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 U-U Pediatric Dermatology's NPI number?

The NPI number for U-U Pediatric Dermatology is 1235339193. It was assigned to this organization in the NPPES registry on July 19, 2007.

Where is U-U Pediatric Dermatology located?

U-U Pediatric Dermatology is located at 100 N Medical Dr, Salt Lake City, UT 84113. The listed phone number is (801) 587-6340.

What is U-U Pediatric Dermatology's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Pediatric Dermatology, with taxonomy code 207NP0225X.

Is U-U Pediatric Dermatology enrolled in Medicare?

Yes. U-U Pediatric Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through U-U Pediatric Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 5 Medicare specialties reassign their Medicare billing to U-U Pediatric Dermatology. A 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 the clinician's services. The largest specialties are Dermatology (30), Allergy/Immunology (3) and Pediatric Medicine (3). Of these, 27 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does U-U Pediatric Dermatology accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list U-U Pediatric Dermatology 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.

When was this NPI record last updated?

The NPPES record for U-U Pediatric Dermatology was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.