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KATHRYN L. O'GORMAN MD, MS
NPI 1376171140
Pediatrics - Pediatric Critical Care Medicine in Salt Lake City, UT

Active since March 29, 2020PECOS Enrolled
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 581-2121 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2026, Mar 21, 2023, Apr 14, 2020 and 1 more (4 updates tracked since 2020).

About Kathryn L. O'gorman Md, Ms NPPES

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

KATHRYN L. O'GORMAN MD, MS (NPI 1376171140) is an individual pediatric critical care medicine provider in Salt Lake City, Utah, licensed in Utah (13312667-1205) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Creighton University School Of Medicine (2020).

NPPES Registry Identity

NPI1376171140
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameKATHRYN L. O'GORMANCredential: MD, MS
Location Address295 S CHIPETA WAYSalt Lake City, UT 84108-1287
Mailing Address295 S Chipeta WaySalt Lake City, UT 84108-1287 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2020
Enumeration DateMarch 29, 2020
Last NPPES UpdateJune 1, 20264 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1376171140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in UT · 13312667-1205
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
295 S CHIPETA WAY, Salt Lake City, UT 84108
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Other Names 1

Former Name (1)Kathryn Lyn Mulligan Md, Ms

Secondary Practice Locations 2

Location 1999 N 92nd St Ste 730Milwaukee, WI 53226-4875 · Phone (414) 266-6800
Location 28701 W Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (414) 955-4575

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn L. O'gorman Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991189219
PECOS Enrollment IDI20260825003687
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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn O'gorman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The Univ Of Ca
457 mi
Urogynecology and Reconstructive Pelvic Surgery
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1285068783 (916) 734-6483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KELLY STOUT PHD
Psychologist
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 213-3469
MALIA MONICA OLSON
Genetic Counselor, MS
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
ALEX NICOLE HESS NNP-BC
Nurse Practitioner (Neonatal)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 558-8276
KATHRYN L. SONGER MD
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7572
LAUREN MOLLY STERNBERG MD
Student in an Organized Health Care Education/Training Program
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 662-5700
RACHEL WILLIS
Nurse Practitioner (Neonatal)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
DR. ERIN L. GOSEKAMP DO, MPH, MS
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7572
GEORGE KHOURY
Student in an Organized Health Care Education/Training Program
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400

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 Kathryn O'gorman's NPI number?

The NPI number for Kathryn O'gorman is 1376171140. It was assigned to this individual provider in the NPPES registry on March 29, 2020. The provider is also known as Kathryn Lyn Mulligan MD, Ms.

Where is Kathryn O'gorman located?

Kathryn O'gorman practices at 295 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 581-2121.

What is Kathryn O'gorman's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kathryn O'gorman enrolled in Medicare?

Yes. Kathryn O'gorman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn O'gorman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn O'gorman reassigns Medicare benefits to Regents Of The Univ Of Ca (Sacramento, CA). 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 Kathryn O'gorman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn O'gorman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Ambetter from Superior HealthPlan list Kathryn O'gorman 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.

When was this NPI record last updated?

The NPPES record for Kathryn O'gorman was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.