DR. ANDREW JARED PELLATT MD
NPI 1376031252
Internal Medicine in Salt Lake City, UT
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Pellatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84143
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, UTLds Hospital
Acute Care Hospitals · Salt Lake City, UTIntermountain Medical Center
Acute Care Hospitals · Murray, UTIntermountain Health Layton Hospital
Acute Care Hospitals · Layton, UTPhysician 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84143
SALT LAKE CITY, UT 84143
SALT LAKE CITY, UT 84143
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.
Which organization bills Medicare for Andrew Pellatt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Pellatt reassigns Medicare benefits to Ihc Health Services Inc (Salt Lake City, UT). The 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 Andrew Pellatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 23 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.
# Dr. Andrew Jared Pellatt, MD · NPI 1376031252
Internal Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 26, 2018.
## Identity
- **NPI:** 1376031252 (Entity type: Individual)
- **Enumerated:** April 26, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** T5001 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 8TH AVE C STREET, Salt Lake City, UT 84143-4000
- **Phone:** (801) 634-4135 · **Fax:** (801) 408-4710
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ihc Health Services Inc (NPI 1346911229, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tulane University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** November 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376031252) · Data from the CMS NPPES public registry.