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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CODY KELSO MD
NPI 1265124168
Internal Medicine - Cardiovascular Disease in Salt Lake City, UT

Active since May 22, 2023PECOS Enrolled
30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112(801) 585-7676 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, May 31, 2023, May 22, 2023 (3 updates tracked since 2023).

About Cody Kelso Md NPPES

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

CODY KELSO MD (NPI 1265124168) is an individual cardiovascular disease provider in Salt Lake City, Utah, licensed in Utah (14280983-1205) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1265124168
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameCODY KELSOCredential: MD
Location Address30 N MARIO CAPECCHI DR RM 3N100Salt Lake City, UT 84112
Mailing Address30 N Mario Capecchi Dr Rm 3n100Salt Lake City, UT 84112 · (801) 585-7676
Phone(801) 585-7676
Sole ProprietorNo
Enumeration DateMay 22, 2023
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1265124168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in UT · 14280983-1205
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
30 N MARIO CAPECCHI DR RM 3N100, Salt Lake City, UT 84112
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Secondary Practice Location 1

Location 15230 Centre AvePittsburgh, PA 15232-1304 · Phone (412) 647-5815

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cody Kelso 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 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
$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 20

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

DR. MERIDETH BROOKE CHILTON MD
Internal Medicine (Nephrology)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
DANIEL P. VANDERHOEF MD
Internal Medicine (Pulmonary Disease)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
BHAVREET SINGH MBBS
Internal Medicine (Infectious Disease)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
JOHN PITTMAN MD
Internal Medicine
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
REZA NASROLLAHZADEH DO
Internal Medicine (Sleep Medicine)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 408-3617
DR. KELSEY J KLINGEL DO
Internal Medicine (Pulmonary Disease)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7693
SRIKAR SAMA M.D.
Internal Medicine (Rheumatology)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
MATTHEW BRUNER MD
Internal Medicine (Interventional Cardiology)
30 N MARIO CAPECCHI DR RM 3N100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-7676

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 Cody Kelso's NPI number?

The NPI number for Cody Kelso is 1265124168. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Cody Kelso located?

Cody Kelso practices at 30 N Mario Capecchi Dr Rm 3n100, Salt Lake City, UT 84112. The listed phone number is (801) 585-7676.

What is Cody Kelso's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Cody Kelso enrolled in Medicare?

Yes. Cody Kelso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody Kelso was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.