MR. JOHN WALKER LELIS PA-C
NPI 1275812208
Physician Assistant - Medical in Murray, UT

Active since August 09, 2011PECOS EnrolledAccepts Medicare Assignment
5121 S COTTONWOOD ST, MURRAY, UT 84107(801) 507-4017(801) 507-4809 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2021, Jan 20, 2021, Aug 10, 2020 (3 updates tracked since 2020).

About Mr. John Walker Lelis Pa-c NPPES

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

MR. JOHN WALKER LELIS PA-C (NPI 1275812208) is an individual medical provider in Murray, Utah, licensed in Utah (8516577-1206) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1275812208
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOHN WALKER LELISCredential: PA-C
Location Address5121 S COTTONWOOD STMurray, UT 84107-5701
Mailing Address5121 S Cottonwood StMurray, UT 84107-5701 · (801) 507-4000 · Fax (801) 507-4809
Fax(801) 507-4809
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 9, 2011
Last NPPES UpdateApril 16, 20213 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
NPI 1275812208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 8516577-1206
5121 S COTTONWOOD ST, Murray, UT 84107

Secondary Practice Location 1

Location 1339 E 3900 SSalt Lake City, UT 84107-1677 · Phone (801) 263-1056 · Fax (801) 261-3701

Other Identifiers 1

Medicaid1275812208UT

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. John Walker Lelis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436325032
PECOS Enrollment IDI20180205000623
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

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.

Pediatrics (Neonatal-Perinatal Medicine)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Hospitalist
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Physical Therapist
5121 S COTTONWOOD ST
MURRAY, UT 84107
Student in an Organized Health Care Education/Training Program
5121 S COTTONWOOD ST
MURRAY, UT 84107
Internal Medicine (Clinical Cardiac Electrophysiology)
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107
Physician Assistant
5121 S COTTONWOOD ST
MURRAY, UT 84107
Internal Medicine
5121 S COTTONWOOD ST
MURRAY, UT 84107
Nurse Practitioner
5121 S COTTONWOOD ST
MURRAY, UT 84107

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 John Lelis's NPI number?

The NPI number for John Lelis is 1275812208. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is John Lelis located?

John Lelis practices at 5121 S Cottonwood St, Murray, UT 84107. The listed phone number is (801) 507-4017.

What is John Lelis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is John Lelis enrolled in Medicare?

Yes. John Lelis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Lelis accept?

Health plans from Select Health and University of Utah Health Plans list John Lelis 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.

Is John Lelis affiliated with any hospitals?

According to CMS data, John Lelis is affiliated with University Of Utah Hospitals And Clinics, Intermountain Medical Center, Intermountain Health Alta View Hospital and Riverton Hospital.

When was this NPI record last updated?

The NPPES record for John Lelis was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.