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GABRIELA WALSMAN LEIVA M.D.
NPI 1477845717
Family Medicine in Taylorsville, UT

Active since May 04, 2011Opted out of Medicare · through Mar 15, 2028
4745 S 3200 W, TAYLORSVILLE, UT 84129(801) 964-6214(877) 497-4661 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gabriela Walsman Leiva M.d. NPPES

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

GABRIELA WALSMAN LEIVA M.D. (NPI 1477845717) is an individual family medicine provider in Taylorsville, Utah, licensed in Utah (9641756-1205) and active in the NPI registry since May 2011. She has opted out of Medicare through March 15, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477845717
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGABRIELA WALSMAN LEIVACredential: M.D.
Location Address4745 S 3200 WTaylorsville, UT 84129-2822
Mailing Address220 W 7200 S, Suite AMidvale, UT 84047-1043 · (801) 858-3461 · Fax (801) 955-2389
Phone(801) 964-6214
Fax(877) 497-4661
Sole ProprietorNo
Enumeration DateMay 4, 2011
Last NPPES UpdateJanuary 31, 2017
✔ NPI 1477845717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in UT · 9641756-1205✔ Licensed in TX · P9026
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.
4745 S 3200 W, Taylorsville, UT 84129
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gabriela Walsman Leiva M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2022 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2022
Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84129 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.

AMBER SHARP HEISE MD
Pediatrics
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 964-6124
ZORICA ANDREA LJUBIC MD
Family Medicine
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (019) 646-2148
ANNIE KATHRYN KORNETZKE DO
Family Medicine
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 964-6214
MS. JAMILIETH CAMPOS ALEJANDRE
Student in an Organized Health Care Education/Training Program
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 964-6214
DR. ANDREW SORENSEN DO
Student in an Organized Health Care Education/Training Program
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 328-4045
DR. LILLIAN ELIZABETH HAYES MD
Family Medicine
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 964-6214
PAIGE HOLBROOK
Dentist (Dental Public Health)
4745 S 3200 W
TAYLORSVILLE, UT 84129
Salt Lake County (801) 964-6214
MARIA DALIA GARZA
Counselor (Mental Health)
4745 S 3200 W
SALT LAKE CITY, UT 84129
Salt Lake County (801) 964-6214

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 Gabriela Walsman Leiva's NPI number?

The NPI number for Gabriela Walsman Leiva is 1477845717. It was assigned to this individual provider in the NPPES registry on May 4, 2011.

Where is Gabriela Walsman Leiva located?

Gabriela Walsman Leiva practices at 4745 S 3200 W, Taylorsville, UT 84129. The listed phone number is (801) 964-6214.

What is Gabriela Walsman Leiva's specialty?

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

Is Gabriela Walsman Leiva enrolled in Medicare?

No. Gabriela Walsman Leiva has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gabriela Walsman Leiva was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.