GLICEIDA M. GALARZA FORTUNA MD
NPI 1518458512
Internal Medicine - Hematology & Oncology in Salt Lake City, UT

Q: What is Gliceida Galarza Fortuna's NPI number?

The NPI number for Gliceida Galarza Fortuna is 1518458512. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Q: What is Gliceida Galarza Fortuna's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since May 24, 2018PECOS EnrolledAccepts Medicare Assignment

30 N 1900 E RM 5C402, SALT LAKE CITY, UT 84132(801) 585-0120 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 26, 2025, Apr 20, 2022, May 24, 2018 (3 updates tracked since 2018).

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About Gliceida M. Galarza Fortuna Md NPPES

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

GLICEIDA M. GALARZA FORTUNA MD (NPI 1518458512) is an individual hematology & oncology provider in Salt Lake City, Utah, licensed in Utah (12808704-1205) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1518458512

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameGLICEIDA M. GALARZA FORTUNACredential: MD

Location Address30 N 1900 E RM 5C402Salt Lake City, UT 84132-0002

Mailing Address30 N 1900 E Rm 5c402Salt Lake City, UT 84132-0002 · (801) 585-0120

Phone(801) 585-0120

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 24, 2018

Last NPPES UpdateDecember 26, 20253 updates tracked since enumeration

NPPES CertifiedDecember 26, 2025

✔ NPI 1518458512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in UT · 12808704-1205

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

30 N 1900 E RM 5C402, Salt Lake City, UT 84132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.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

Gliceida M. Galarza Fortuna Md 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 ID7012304769

PECOS Enrollment IDI20250707003692

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.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

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 11

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

KRISTEN KELLEY MD

Internal Medicine (Hematology & Oncology)