DR. MARIO PUCCI MD
NPI 1497496087
Family Medicine in Salt Lake City, UT
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 Monument Health Rapid City Hospital, and maintains a secondary practice location in Centerville.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Mario Pucci Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mario Pucci reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Moab, UT 84532
- Reassigned Medicare billing, Utah enrollment
- 60 clinicians in this Medicare group
Spearfish, SD 57783
- Reassigned Medicare billing, South Dakota enrollment
- 831 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDMoab Regional Hospital
Critical Access Hospitals · Moab, UTPhysician 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Mario Pucci's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mario Pucci reassigns Medicare benefits to 2 organizations: Moab Valley Healthcare, Inc (Moab, UT) and Monument Health Rapid City Hospital, Inc. (Spearfish, SD). Each 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 Mario Pucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mario Pucci accept?
Health plans from Molina Healthcare, Oscar Insurance Company, Sanford Health Plan, Select Health and University of Utah Health Plans and 1 other insurer list Mario Pucci 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.
Is Mario Pucci affiliated with any hospitals?
According to CMS data, Mario Pucci is affiliated with Monument Health Rapid City Hospital and 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 3 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.
# Dr. Mario Pucci, MD · NPI 1497496087
Family Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 6, 2022.
## Identity
- **NPI:** 1497496087 (Entity type: Individual)
- **Enumerated:** April 6, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 13521403-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 375 S CHIPETA WAY RM 201, Salt Lake City, UT 84108-1260
- **Phone:** (801) 581-2121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Moab Valley Healthcare, Inc (NPI 1770513236, Moab, UT); Monument Health Rapid City Hospital, Inc. (NPI 1255415246, Spearfish, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497496087) · Data from the CMS NPPES public registry.