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DR. TREVOR H. MEMMOTT MD
NPI 1659862928
Pediatrics - Pediatric Hematology-Oncology in Salt Lake City, UT

Active since May 23, 2018PECOS EnrolledAccepts Medicare Assignment
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5712 Get Directions Write a Review

NPPES record last updated: December 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2024, May 29, 2021, May 23, 2018 (3 updates tracked since 2018).

About Dr. Trevor H. Memmott Md NPPES

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

DR. TREVOR H. MEMMOTT MD (NPI 1659862928) is an individual pediatric hematology-oncology provider in Salt Lake City, Utah, licensed in Utah (12236681-1205) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2018).

NPPES Registry Identity

NPI1659862928
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. TREVOR H. MEMMOTTCredential: MD
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing Address100 N Mario Capecchi DrSalt Lake City, UT 84113-1103 · (801) 662-5712
Phone(801) 662-5712
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2018
Enumeration DateMay 23, 2018
Last NPPES UpdateDecember 8, 20243 updates tracked since enumeration
NPPES CertifiedDecember 8, 2024
✔ NPI 1659862928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in UT · 12236681-1205
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License R76848 (AZ)
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
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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

Dr. Trevor H. Memmott 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 ID8224389309
PECOS Enrollment IDI20250106001244
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.

Other Providers at the Same Location NPPES 20

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

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Trevor Memmott's NPI number?

The NPI number for Trevor Memmott is 1659862928. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Trevor Memmott located?

Trevor Memmott practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5712.

What is Trevor Memmott's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Trevor Memmott enrolled in Medicare?

Yes. Trevor Memmott 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 Trevor Memmott accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Trevor Memmott 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.

When was this NPI record last updated?

The NPPES record for Trevor Memmott was last updated on December 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.