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IVAN FLORES PA
NPI 1609760479
Physician Assistant in Salt Lake City, UT

Active since June 05, 2025PECOS EnrolledAccepts Medicare Assignment
1111 E BRICKYARD RD APT 430, SALT LAKE CITY, UT 84106(801) 916-4887 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 31, 2025, Jun 5, 2025 (2 updates tracked since 2025).

About Ivan Flores Pa NPPES

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

IVAN FLORES PA (NPI 1609760479) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (14225518-1206) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609760479
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameIVAN FLORESCredential: PA
Location Address1111 E BRICKYARD RD APT 430Salt Lake City, UT 84106-3698
Mailing Address1111 E Brickyard Rd Apt 430Salt Lake City, UT 84106-3698 · (801) 916-4887
Phone(801) 916-4887
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 5, 2025
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1609760479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14225518-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1111 E BRICKYARD RD APT 430, Salt Lake City, UT 84106
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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

Ivan Flores Pa 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 ID8123522273
PECOS Enrollment IDI20250919004170
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.

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

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84106 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.

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 Ivan Flores's NPI number?

The NPI number for Ivan Flores is 1609760479. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Ivan Flores located?

Ivan Flores practices at 1111 E Brickyard Rd Apt 430, Salt Lake City, UT 84106. The listed phone number is (801) 916-4887.

What is Ivan Flores's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ivan Flores enrolled in Medicare?

Yes. Ivan Flores 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.

Is Ivan Flores affiliated with any hospitals?

According to CMS data, Ivan Flores is affiliated with University Of Utah Hospitals And Clinics and Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Ivan Flores was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.