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WEST VALLEY DERMATOLOGY
NPI 1548680184
Dermatology in Salt Lake City, UT

Active since April 22, 2014
4133 PIONEER PKWY, SUITE 120, SALT LAKE CITY, UT 84120(801) 966-1403(801) 964-6478 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2025, Dec 21, 2021 (2 updates tracked since 2021).

About West Valley Dermatology NPPES

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

WEST VALLEY DERMATOLOGY (NPI 1548680184) is a healthcare organization registered as a dermatology in Salt Lake City, Utah and active in the NPI registry since April 2014. The organization lists Gheorghe Pusta, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548680184
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWEST VALLEY DERMATOLOGY
Location Address4133 PIONEER PKWY, SUITE 120Salt Lake City, UT 84120-2050
Mailing Address7300 Ranch Road 2222, Bldg 1, Ste 200Austin, TX 78730-3255 · (512) 628-0465 · Fax (512) 233-2711
Phone(801) 966-1403
Fax(801) 964-6478
Organization SubpartNo
Authorized OfficialGheorghe PustaCeo · (512) 628-0465
Enumeration DateApril 22, 2014
Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1548680184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in UT · 8963761-1204
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4133 PIONEER PKWY, Salt Lake City, UT 84120
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Valley Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to West Valley Dermatology, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Jesse Jensen, D.O.
Dermatology
NPI 1619294337
2376 N 400 E STE 203
Tooele, UT 84074
(801) 966-1403
✔ PECOS✔ Accepts Medicare18 mi
Jessica Collins, DO
Dermatology
NPI 1821443524
322 E GATEWAY DR STE 103
Heber City, UT 84032
(435) 315-3147
✔ PECOS✔ Accepts Medicare34 mi
Paola Aldana, MD
Dermatology
NPI 1720615198
3773 E CHERRY CREEK NORTH DR STE 970
Denver, CO 80209
(303) 388-5629
✔ PECOS✔ Accepts Medicare379 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 West Valley Dermatology's NPI number?

The NPI number for West Valley Dermatology is 1548680184. It was assigned to this organization in the NPPES registry on April 22, 2014.

Where is West Valley Dermatology located?

West Valley Dermatology is located at 4133 Pioneer Pkwy Suite 120, Salt Lake City, UT 84120. The listed phone number is (801) 966-1403.

What is West Valley Dermatology's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is West Valley Dermatology enrolled in Medicare?

Yes. West Valley Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Valley Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to West Valley Dermatology. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does West Valley Dermatology accept?

Health plans from Molina Healthcare and University of Utah Health Plans list West Valley Dermatology 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.

When was this NPI record last updated?

The NPPES record for West Valley Dermatology was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.