ISSAC PENA-RENTERIA PA-C
NPI 1356852719
Physician Assistant in Salt Lake City, UT

Active since October 12, 2017PECOS EnrolledAccepts Medicare Assignment
2295 S FOOTHILL DR, SALT LAKE CITY, UT 84109(801) 486-3021 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2021, Dec 21, 2017, Oct 12, 2017 (3 updates tracked since 2017).

About Issac Pena-renteria Pa-c NPPES

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

ISSAC PENA-RENTERIA PA-C (NPI 1356852719) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (6864813-1206) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356852719
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameISSAC PENA-RENTERIACredential: PA-C
Location Address2295 S FOOTHILL DRSalt Lake City, UT 84109-4000
Mailing Address2295 S Foothill DrSalt Lake City, UT 84109-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 12, 2017
Last NPPES UpdateDecember 1, 20213 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1356852719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 6864813-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2295 S FOOTHILL DR, Salt Lake City, UT 84109

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

Issac Pena-renteria 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 ID42579393
PECOS Enrollment IDI20181214003066
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84109 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 10

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

Physician Assistant
2295 S FOOTHILL DR
SALT LAKE CITY, UT 84109
Family Medicine
2295 S FOOTHILL DR
SALT LAKE CITY, UT 84109
Physical Therapist
2295 S FOOTHILL DR
SALT LAKE CITY, UT 84109
Nurse Practitioner (Primary Care)
2295 S FOOTHILL DR
SALT LAKE CITY, UT 84109
Physical Therapist
2295 S FOOTHILL DR, SUITE 1
SALT LAKE CITY, UT 84109
Registered Nurse
2295 S FOOTHILL DR
SALT LAKE CITY, UT 84109
Physician Assistant
2295 S FOOTHILL DR
SALT LAKE CITY, UT 84109
Physical Medicine & Rehabilitation (Sports Medicine)
2295 S FOOTHILL DR
SALT LAKE CITY, UT 84109

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 Issac Pena-renteria's NPI number?

The NPI number for Issac Pena-renteria is 1356852719. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Where is Issac Pena-renteria located?

Issac Pena-renteria practices at 2295 S Foothill Dr, Salt Lake City, UT 84109. The listed phone number is (801) 486-3021.

What is Issac Pena-renteria's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Issac Pena-renteria enrolled in Medicare?

Yes. Issac Pena-renteria 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 Issac Pena-renteria accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Issac Pena-renteria 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 Issac Pena-renteria affiliated with any hospitals?

According to CMS data, Issac Pena-renteria is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Issac Pena-renteria was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.