DR. CORY M. BOSWORTH MD
NPI 1639734304
Pathology - Hematology in Salt Lake City, UT

Q: What is Cory Bosworth's NPI number?

The NPI number for Cory Bosworth is 1639734304. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Q: What is Cory Bosworth's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.

Q: When was this NPI record last updated?

The NPPES record for Cory Bosworth was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since May 07, 2019PECOS Enrolled

15 N MEDICAL DR, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Jul 22, 2024, Jul 19, 2022 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Cory M. Bosworth Md NPPES

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

DR. CORY M. BOSWORTH MD (NPI 1639734304) is an individual hematology provider in Salt Lake City, Utah, licensed in Utah (14126857-1205) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Franklin.

NPPES Registry Identity

NPI1639734304

Entity TypeIndividualMale

Primary Taxonomy207ZH0000X

Provider Legal NameDR. CORY M. BOSWORTHCredential: MD

Location Address15 N MEDICAL DRSalt Lake City, UT 84112-1100

Mailing Address15 N Medical DrSalt Lake City, UT 84112-1100 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateMay 7, 2019

Last NPPES UpdateSeptember 10, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1639734304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · HematologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZH0000X

License✔ Licensed in UT · 14126857-1205

Definition

A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 69834 (TN)

15 N MEDICAL DR, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 1219 Devrow CtFranklin, TN 37064-6865 · Phone (615) 415-9655

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cory M. Bosworth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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.

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.

TINGTING BARRETT MD

Pathology (Anatomic Pathology)

15 N MEDICAL DR
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-2121

JOHN FRANCIS BRENNAN MD

Pathology (Molecular Genetic Pathology)

15 N MEDICAL DR
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-2121

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 Cory Bosworth's NPI number?

The NPI number for Cory Bosworth is 1639734304. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Cory Bosworth located?

Cory Bosworth practices at 15 N Medical Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Cory Bosworth's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Hematology, with taxonomy code 207ZH0000X.

Is Cory Bosworth enrolled in Medicare?

Yes. Cory Bosworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cory Bosworth was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.