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ADRIENE PAVEK
NPI 1255038303
Internal Medicine in Salt Lake City, UT

Active since February 09, 2023PECOS Enrolled
27 S MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112(801) 581-6437 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2026, Feb 9, 2023 (2 updates tracked since 2023).

About Adriene Pavek NPPES

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

ADRIENE PAVEK (NPI 1255038303) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Oregon (PG230884) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255038303
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameADRIENE PAVEK
Location Address27 S MARIO CAPECCHI DRSalt Lake City, UT 84112-5888
Mailing Address27 S Mario Capecchi DrSalt Lake City, UT 84112-5888
Phone(801) 581-6437
Sole ProprietorYes
Enumeration DateFebruary 9, 2023
Last NPPES UpdateMay 25, 20262 updates tracked since enumeration
NPPES CertifiedMay 25, 2026
✔ NPI 1255038303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · PG230884
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
27 S MARIO CAPECCHI DR, Salt Lake City, UT 84112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adriene Pavek 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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 20

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

MADISON FISHER
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7498
ALEXANDRA SARAH VITALE
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SLC, UT 84112
Salt Lake County (801) 213-9500
BRYAN RADMALL
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7489
DANIELLE MARIE KELLY
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 425-8189
KARLI V LUDWIG MD
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-6437
KADE WAGERS MK
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7498
AZRAA SAMIN AYESHA MD
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
GEORGIA VEVERKA
Student in an Organized Health Care Education/Training Program
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7498

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 Adriene Pavek's NPI number?

The NPI number for Adriene Pavek is 1255038303. It was assigned to this individual provider in the NPPES registry on February 9, 2023.

Where is Adriene Pavek located?

Adriene Pavek practices at 27 S Mario Capecchi Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-6437.

What is Adriene Pavek's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adriene Pavek enrolled in Medicare?

Yes. Adriene Pavek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adriene Pavek was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.