SHALEEN DOCTOR
NPI 1417444845
Family Medicine in Bountiful, UT

Q: What is Shaleen Doctor's NPI number?

The NPI number for Shaleen Doctor is 1417444845. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Q: What is Shaleen Doctor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shaleen Doctor was last updated on March 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment

390 N MAIN ST, BOUNTIFUL, UT 84010(801) 397-6400(801) 396-6439 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2021, Jun 21, 2018, Apr 20, 2018 (3 updates tracked since 2018).

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About Shaleen Doctor NPPES

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

SHALEEN DOCTOR (NPI 1417444845) is an individual family medicine provider in Bountiful, Utah, licensed in Utah (12857581) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417444845

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHALEEN DOCTOR

Location Address390 N MAIN STBountiful, UT 84010-6046

Mailing Address390 N Main StBountiful, UT 84010-6046 · (801) 397-6400 · Fax (801) 397-6439

Phone(801) 397-6400

Fax(801) 396-6439

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 20, 2018

Last NPPES UpdateMarch 26, 20243 updates tracked since enumeration

NPPES CertifiedMarch 26, 2024

✔ NPI 1417444845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in UT · 12857581✔ Licensed in OR · MD204302

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MED-RES-LIC-67437 (MT)

390 N MAIN ST, Bountiful, UT 84010

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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

Shaleen Doctor 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 ID7113274655

PECOS Enrollment IDI20221110001540

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.

48 services23 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

34 services34 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.

21 services16 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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.

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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.

DAELYN TASHA CLAWSON RN

Nurse Practitioner