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CELIA ANAIS PENA HEREDIA MD
NPI 1568967974
Internal Medicine in Salt Lake City, UT

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
30 N 1900 E RM AB193, SALT LAKE CITY, UT 84132(801) 585-1686 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2022, Jul 13, 2021, Mar 27, 2018 (3 updates tracked since 2018).

About Celia Anais Pena Heredia Md NPPES

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

CELIA ANAIS PENA HEREDIA MD (NPI 1568967974) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (12377479-1205) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1568967974
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCELIA ANAIS PENA HEREDIACredential: MD
Location Address30 N 1900 E RM AB193Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm Ab193Salt Lake City, UT 84132-0002 · (801) 585-1686
Phone(801) 585-1686
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 27, 2018
Last NPPES UpdateApril 14, 20223 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1568967974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 12377479-1205
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 12377479-1205 (UT)
30 N 1900 E RM AB193, Salt Lake City, UT 84132
Open in Google Maps ↗

Secondary Practice Location 1

Location 16550 Fannin St # Sm1001Houston, TX 77030-2717 · Phone (713) 441-5114 · Fax (713) 790-3023

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 and more.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

Celia Anais Pena Heredia 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 ID840692513
PECOS Enrollment IDI20220419001498
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
166 services83 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services19 patients

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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

CECILIA V. A. DAVIES MD
Internal Medicine (Geriatric Medicine)
30 N 1900 E RM AB193
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-1686
RONAK IQBAL MBBS
Internal Medicine (Geriatric Medicine)
30 N 1900 E RM AB193
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-1686

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 Celia Pena Heredia's NPI number?

The NPI number for Celia Pena Heredia is 1568967974. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Celia Pena Heredia located?

Celia Pena Heredia practices at 30 N 1900 E Rm Ab193, Salt Lake City, UT 84132. The listed phone number is (801) 585-1686.

What is Celia Pena Heredia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Celia Pena Heredia enrolled in Medicare?

Yes. Celia Pena Heredia 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.

What insurance does Celia Pena Heredia accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Celia Pena Heredia 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 Celia Pena Heredia affiliated with any hospitals?

According to CMS data, Celia Pena Heredia is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Celia Pena Heredia was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.