DR. ANDREW JARED PELLATT MD
NPI 1376031252
Internal Medicine in Salt Lake City, UT

Q: What is Andrew Pellatt's NPI number?

The NPI number for Andrew Pellatt is 1376031252. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Q: What is Andrew Pellatt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Pellatt was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment

8TH AVE C STREET, SALT LAKE CITY, UT 84143(801) 634-4135(801) 408-4710 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2024, Mar 5, 2024, Jul 29, 2022 and 4 more (7 updates tracked since 2018).

On this page

About Dr. Andrew Jared Pellatt Md NPPES

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

DR. ANDREW JARED PELLATT MD (NPI 1376031252) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Texas (T5001) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Tulane University School Of Medicine (2018).

NPPES Registry Identity

NPI1376031252

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ANDREW JARED PELLATTCredential: MD

Location Address8TH AVE C STREETSalt Lake City, UT 84143-4000

Mailing AddressPo Box 4439Houston, TX 77210-4439 · (713) 792-2991

Phone(801) 634-4135

Fax(801) 408-4710

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 2018

Enumeration DateApril 26, 2018

Last NPPES UpdateNovember 20, 20247 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1376031252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · T5001

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 13694985-1205 (UT)

8TH AVE C STREET, Salt Lake City, UT 84143

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Dr. Andrew Jared Pellatt Md 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 ID446501167

PECOS Enrollment IDI20240802002621

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

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

23 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460004

Location4401 Harrison BoulevardOgden, UT 84403 · Weber County

Emergency services Birthing friendly

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460006

Location8th Avenue And C StreetSalt Lake City, UT 84143 · 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 Layton Hospital

Acute Care Hospitals · Layton, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460061

Location201 West Layton ParkwayLayton, UT 84041 · Davis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84143 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

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

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 7

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

BRYANT LEWIS PETERSON CRNA

Nurse Anesthetist, Certified Registered

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-3350

DANIEL C RAPP MD

Psychiatry & Neurology (Psychiatry)

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-1038

CANDYCE STUART RN

Registered Nurse

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 808-3487

BETH ELLEN HUNT DPT

Physical Therapist

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-1000

CANDICE MARINA BALDEO MD

Internal Medicine (Hematology & Oncology)

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 898-1819

GAYLE WHITE APRN FNPC

Nurse Practitioner (Family)

8TH AVE C STREET, LDS HOSPITAL WOUND CARE SERVICE
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-3638

MS. ANNE E BOULTER APRN

Nurse Practitioner (Acute Care)

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-3090

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 Andrew Pellatt's NPI number?

The NPI number for Andrew Pellatt is 1376031252. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Andrew Pellatt located?

Andrew Pellatt practices at 8th Ave C Street, Salt Lake City, UT 84143. The listed phone number is (801) 634-4135.

What is Andrew Pellatt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrew Pellatt enrolled in Medicare?

Yes. Andrew Pellatt 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 Andrew Pellatt accept?

Health plans from Select Health list Andrew Pellatt 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 Andrew Pellatt affiliated with any hospitals?

According to CMS data, Andrew Pellatt is affiliated with Mckay-Dee Hospital, Lds Hospital, Intermountain Medical Center and Intermountain Health Layton Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Pellatt was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.