CECILIA J. IM MD
NPI 1255919726
Surgery in Salt Lake City, UT

Active since March 29, 2021PECOS Enrolled
30 N 1900 E RM 3B324, SALT LAKE CITY, UT 84132(801) 581-6803 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2022, Mar 29, 2021 (2 updates tracked since 2021).

About Cecilia J. Im Md NPPES

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

CECILIA J. IM MD (NPI 1255919726) is an individual surgery provider in Salt Lake City, Utah, licensed in Utah (12985851-1205) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255919726
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCECILIA J. IMCredential: MD
Location Address30 N 1900 E RM 3B324Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 3b324Salt Lake City, UT 84132-0002 · (801) 581-6803
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1255919726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in UT · 12985851-1205
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

30 N 1900 E RM 3B324, Salt Lake City, UT 84132

Other Names 1

Other Name (5)Jung In Im

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cecilia J. Im Md 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 84132 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.

Other Providers at the Same Location NPPES 17

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

Surgery
30 N 1900 E RM 3B324
SALT LAKE CITY, UT 84132
Internal Medicine (Hospice and Palliative Medicine)
30 N 1900 E RM 3B324
SALT LAKE CITY, UT 84132
Surgery
30 N 1900 E RM 3B324
SALT LAKE CITY, UT 84132
Surgery
30 N 1900 E RM 3B324
SALT LAKE CITY, UT 84132
Surgery
30 N 1900 E RM 3B324
SALT LAKE CITY, UT 84132
Surgery
30 N 1900 E RM 3B324
SALT LAKE CITY, UT 84132
Surgery
30 N 1900 E RM 3B324
SALT LAKE CITY, UT 84132
Surgery
30 N 1900 E RM 3B324
SALT LAKE CITY, UT 84132

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 Cecilia Im's NPI number?

The NPI number for Cecilia Im is 1255919726. It was assigned to this individual provider in the NPPES registry on March 29, 2021. The provider is also known as Jung In Im.

Where is Cecilia Im located?

Cecilia Im practices at 30 N 1900 E Rm 3b324, Salt Lake City, UT 84132. The listed phone number is (801) 581-6803.

What is Cecilia Im's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Cecilia Im enrolled in Medicare?

Yes. Cecilia Im is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cecilia Im was last updated on August 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.