MAYA YUKIKO MATSUMOTO MD
NPI 1386404051
Pediatrics in Salt Lake City, UT

Q: What is Maya Matsumoto's NPI number?

The NPI number for Maya Matsumoto is 1386404051. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Q: What is Maya Matsumoto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Maya Matsumoto was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 March 20, 2024PECOS Enrolled

295 S CHIPETA WAY RM 2S010, SALT LAKE CITY, UT 84108(801) 581-2121 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Maya Yukiko Matsumoto Md NPPES

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

MAYA YUKIKO MATSUMOTO MD (NPI 1386404051) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (14241503-1205) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386404051

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMAYA YUKIKO MATSUMOTOCredential: MD

Location Address295 S CHIPETA WAY RM 2S010Salt Lake City, UT 84108-1287

Mailing Address295 S Chipeta Way Rm 2s010Salt Lake City, UT 84108-1287 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateMarch 20, 2024

Last NPPES UpdateSeptember 19, 2025

NPPES CertifiedSeptember 19, 2025

✔ NPI 1386404051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in UT · 14241503-1205

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

295 S CHIPETA WAY RM 2S010, Salt Lake City, UT 84108

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maya Yukiko Matsumoto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84108 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

$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 20

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

JOSLYNN MARIE HOBURG MD

Pediatrics (Neonatal-Perinatal Medicine)