WASATCH GERIATRICS PC
NPI 1619993276
Internal Medicine - Geriatric Medicine in Salt Lake City, UT

Active since July 15, 2006
1414 E 4500 S, #1, SALT LAKE CITY, UT 84117(801) 272-0255(801) 947-0840 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2026, Mar 27, 2026 (2 updates tracked since 2026).

About Wasatch Geriatrics Pc NPPES

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

WASATCH GERIATRICS PC (NPI 1619993276) is a healthcare organization registered as a geriatric medicine in Salt Lake City, Utah and active in the NPI registry since July 2006. The organization lists Charles Steven Fehlauer, Owner, as its authorized official.

NPPES Registry Identity

NPI1619993276
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameWASATCH GERIATRICS PC
Location Address1414 E 4500 S, #1Salt Lake City, UT 84117-4228
Mailing Address2773 E Etienne WaySandy, UT 84093-1116 · (801) 824-2748 · Fax (801) 272-4983
Fax(801) 947-0840
Organization SubpartNo
Authorized OfficialCharles Steven FehlauerOwner · (801) 824-2748
Enumeration DateJuly 15, 2006
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1619993276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in UT · 294016-2401
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1414 E 4500 S, Salt Lake City, UT 84117

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wasatch Geriatrics Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wasatch Geriatrics PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Geriatric Medicine
NPI 1932285418
2773 E ETIENNE WAY
Sandy, UT 84093
(801) 824-2748
✔ PECOS✔ Accepts Medicare5.1 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 Wasatch Geriatrics PC's NPI number?

The NPI number for Wasatch Geriatrics PC is 1619993276. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Wasatch Geriatrics PC located?

Wasatch Geriatrics PC is located at 1414 E 4500 S #1, Salt Lake City, UT 84117. The listed phone number is (801) 272-0255.

What is Wasatch Geriatrics PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Wasatch Geriatrics PC enrolled in Medicare?

Yes. Wasatch Geriatrics PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wasatch Geriatrics PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Wasatch Geriatrics PC. 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.

When was this NPI record last updated?

The NPPES record for Wasatch Geriatrics PC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.