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DR. MARIO PUCCI MD
NPI 1497496087
Family Medicine in Salt Lake City, UT

Active since April 06, 2022PECOS Enrolled
375 S CHIPETA WAY RM 201, SALT LAKE CITY, UT 84108(801) 581-2121 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2023, Apr 6, 2022 (2 updates tracked since 2022).

About Dr. Mario Pucci Md NPPES

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

DR. MARIO PUCCI MD (NPI 1497496087) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (13521403-1205) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Moab Regional Hospital, and maintains a secondary practice location in Centerville.

NPPES Registry Identity

NPI1497496087
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIO PUCCICredential: MD
Location Address375 S CHIPETA WAY RM 201Salt Lake City, UT 84108-1260
Mailing Address375 S Chipeta Way Rm 201Salt Lake City, UT 84108-1260 · (801) 581-2121
Phone(801) 581-2121
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1497496087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 13521403-1205
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.
375 S CHIPETA WAY RM 201, Salt Lake City, UT 84108
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Secondary Practice Location 1

Location 126 S Main StCenterville, UT 84014-1817 · Phone (801) 693-7900

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario Pucci Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587028576
PECOS Enrollment IDI20251230004033
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.

Hospital Affiliations CMS Care Compare

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

Moab Regional Hospital

Critical Access Hospitals · Moab, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461302
Location450 West Williams WayMoab, UT 84532 · Grand County
Emergency services

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 6

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

MS. SHANNON B. MCKIM DO
Family Medicine
375 S CHIPETA WAY RM 201
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
JONATHAN B. SPIVEY MD
Family Medicine
375 S CHIPETA WAY RM 201
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
DR. SARAH K. HOURSTON MD, ND
Hospitalist
375 S CHIPETA WAY RM 201
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
DR. SIDNEY BRYN MD
Family Medicine
375 S CHIPETA WAY RM 201
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
PRASHANTH G. FENN MD
Hospitalist
375 S CHIPETA WAY RM 201
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
DR. TRACY S. HUNTER MD
Family Medicine
375 S CHIPETA WAY RM 201
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121

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 Mario Pucci's NPI number?

The NPI number for Mario Pucci is 1497496087. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Mario Pucci located?

Mario Pucci practices at 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108. The listed phone number is (801) 581-2121.

What is Mario Pucci's specialty?

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

Is Mario Pucci enrolled in Medicare?

Yes. Mario Pucci is registered in the Medicare PECOS enrollment system.

Is Mario Pucci affiliated with any hospitals?

According to CMS data, Mario Pucci is affiliated with Moab Regional Hospital.

When was this NPI record last updated?

The NPPES record for Mario Pucci was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.