USHA GAUTAM NURSE PRACTITIONER
NPI 1508665605
Nurse Practitioner in Sandy, UT
About Usha Gautam Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
USHA GAUTAM NURSE PRACTITIONER (NPI 1508665605) is an individual nurse practitioner in Sandy, Utah, licensed in Utah (11176038-4405) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Usha Gautam Nurse Practitioner 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.
Medicare Billing Reassignments
2Medicare enrollment records show Usha Gautam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84115
- Reassigned Medicare billing, Utah enrollment
- 55 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, Utah enrollment
- 49 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.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDHoly Cross Hospital-Jordan Valley
Acute Care Hospitals · West Jordan, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84070 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Usha Gautam's NPI number?
The NPI number for Usha Gautam is 1508665605. It was assigned to this individual provider in the NPPES registry on March 11, 2025.
Where is Usha Gautam located?
Usha Gautam practices at 243 E Hammermill Ln, Sandy, UT 84070. The listed phone number is (385) 234-8696.
What is Usha Gautam's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Usha Gautam enrolled in Medicare?
Yes. Usha Gautam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Usha Gautam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Usha Gautam reassigns Medicare benefits to 2 organizations: Santibanez Pac Utah (Salt Lake City, UT) and Post Acute Medical PLLC (Lanham, MD). 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 Usha Gautam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Usha Gautam accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Usha Gautam 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 Usha Gautam affiliated with any hospitals?
According to CMS data, Usha Gautam is affiliated with St Luke's Regional Medical Center and Holy Cross Hospital-Jordan Valley.
When was this NPI record last updated?
The NPPES record for Usha Gautam was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Usha Gautam, NURSE PRACTITIONER · NPI 1508665605
Nurse Practitioner physician in Sandy, Utah. Individual provider, active in the CMS NPPES registry since March 11, 2025.
## Identity
- **NPI:** 1508665605 (Entity type: Individual)
- **Enumerated:** March 11, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 11176038-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 243 E HAMMERMILL LN, Sandy, UT 84070-2918
- **Phone:** (385) 234-8696
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Santibanez Pac Utah (NPI 1881469484, Salt Lake City, UT); Post Acute Medical PLLC (NPI 1730713025, Lanham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508665605) · Data from the CMS NPPES public registry.