MA BO INC
NPI 1275182487
Family Medicine in Salt Lake City, UT
About Ma Bo Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MA BO INC (NPI 1275182487) is a healthcare organization registered as a family medicine in Salt Lake City, Utah and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through July 21, 2028 and lists Caitlin Danielle Cacciatore, Office Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ma Bo Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Ma Bo Inc, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D2010206
Ma Bo PC Dba House Call Doctors · Salt Lake City, UTFrequently 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 Ma Bo Inc's NPI number?
The NPI number for Ma Bo Inc is 1275182487. It was assigned to this organization in the NPPES registry on September 10, 2019.
Where is Ma Bo Inc located?
Ma Bo Inc is located at 522 E 100 S, Salt Lake City, UT 84102. The listed phone number is (801) 485-5055.
What is Ma Bo Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ma Bo Inc enrolled in Medicare?
Yes. Ma Bo Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ma Bo Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 4 Medicare specialties reassign their Medicare billing to Ma Bo Inc. 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 Nurse Practitioner (24), Family Practice (1) and Ophthalmology (1). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ma Bo Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2010206) is associated with this NPI, valid through July 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ma Bo Inc was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ma Bo Inc · NPI 1275182487
Family Medicine organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since September 10, 2019.
## Identity
- **NPI:** 1275182487 (Entity type: Organization)
- **Enumerated:** September 10, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Ma Bo Inc)
- **Authorized official:** Caitlin Cacciatore, OFFICE ADMINISTRATOR
## Practice location
- **Address:** 522 E 100 S, Salt Lake City, UT 84102-1905
- **Phone:** (801) 485-5055 · **Fax:** (801) 467-3296
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Family Practice (1), Ophthalmology (1); 10 practice within 10 miles; [full list](https://npiprofile.com/npi/1275182487/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 10, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1275182487) · Data from the CMS NPPES public registry.