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DR. ETHAN S. ROSENFELD M.D.
NPI 1609223064
Surgery - Vascular Surgery in Murray, UT

Active since May 16, 2016PECOS EnrolledAccepts Medicare Assignment
5295 S COMMERCE DR STE 550, MURRAY, UT 84107(801) 313-4110 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 31, 2025, Nov 13, 2024, Apr 20, 2022 and 1 more (4 updates tracked since 2016).

About Dr. Ethan S. Rosenfeld M.d. NPPES

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

DR. ETHAN S. ROSENFELD M.D. (NPI 1609223064) is an individual vascular surgery provider in Murray, Utah, licensed in Utah (12792806-1205) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1609223064
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. ETHAN S. ROSENFELDCredential: M.D.
Location Address5295 S COMMERCE DR STE 550Murray, UT 84107-4736
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Phone(801) 313-4110
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2016
Enumeration DateMay 16, 2016
Last NPPES UpdateDecember 31, 20254 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1609223064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in UT · 12792806-1205✔ Licensed in NM · MD2024-1035
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License D88188 (MD), MD047589 (DC)
5295 S COMMERCE DR STE 550, Murray, UT 84107
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12150 Pennsylvania Ave NWWashington, DC 20037-3201 · Phone (202) 741-3000
Location 230 N 1900 E Rm 3C344Salt Lake City, UT 84132-0002 · Phone (801) 213-2598
Location 31100 Central Ave SEAlbuquerque, NM 87106-4930 · Phone (505) 841-1234

Other Identifiers 3

OtherD88188MD · Md License
OtherMD2024-1035NM · Nm License
OtherMD047589DC · Dc License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Dr. Ethan S. Rosenfeld M.d. 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 ID7416344452
PECOS Enrollment IDI20260126000558
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 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 13

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

DR. RICHARD LEWIS LEAKE M.D.
Radiology (Diagnostic Radiology)
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
JEFFERY MCCLEVE PA-C
Physician Assistant
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
DR. ROHIT B RAM MD
Radiology (Vascular & Interventional Radiology)
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
EMILY BAHR PA-C
Physician Assistant
5295 S COMMERCE DR STE 550
SALT LAKE CITY, UT 84107
Salt Lake County (801) 313-4110
JOSEPH WESLEY ALBRIGHT MD
Radiology (Diagnostic Radiology)
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
JUSTIN GARDNER PA-C
Physician Assistant
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
HOLLI ANN BARBERA
Nurse Practitioner
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110
DAVID CHARLES GAGE MD
Radiology (Diagnostic Radiology)
5295 S COMMERCE DR STE 550
MURRAY, UT 84107
Salt Lake County (801) 313-4110

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 Ethan Rosenfeld's NPI number?

The NPI number for Ethan Rosenfeld is 1609223064. It was assigned to this individual provider in the NPPES registry on May 16, 2016.

Where is Ethan Rosenfeld located?

Ethan Rosenfeld practices at 5295 S Commerce Dr Ste 550, Murray, UT 84107. The listed phone number is (801) 313-4110.

What is Ethan Rosenfeld's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Ethan Rosenfeld enrolled in Medicare?

Yes. Ethan Rosenfeld 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 Ethan Rosenfeld accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Ethan Rosenfeld 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 Ethan Rosenfeld affiliated with any hospitals?

According to CMS data, Ethan Rosenfeld is affiliated with Lds Hospital and Intermountain Medical Center.

When was this NPI record last updated?

The NPPES record for Ethan Rosenfeld was last updated on December 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.