Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BENJAMIN TASEVAC MD
NPI 1669052361
Internal Medicine in Salt Lake City, UT

Q: What is Benjamin Tasevac's NPI number?

The NPI number for Benjamin Tasevac is 1669052361. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Q: What is Benjamin Tasevac's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Tasevac was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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 April 08, 2021PECOS Enrolled

5121 S COTTONWOOD ST, SALT LAKE CITY, UT 84107(801) 507-7000 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Nov 19, 2025, Apr 9, 2024 and 1 more (4 updates tracked since 2021).

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About Benjamin Tasevac Md NPPES

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

BENJAMIN TASEVAC MD (NPI 1669052361) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (13896117-1205) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Salt Lake City, and is a graduate of University Of Utah School Of Medicine (2021).

NPPES Registry Identity

NPI1669052361

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameBENJAMIN TASEVACCredential: MD

Location Address5121 S COTTONWOOD STSalt Lake City, UT 84107-5701

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 507-7000

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2021

Enumeration DateApril 8, 2021

Last NPPES UpdateJuly 22, 20264 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1669052361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 13896117-1205

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 13896117-1205 (UT)

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 13896117-1205 (UT)

5121 S COTTONWOOD ST, Salt Lake City, UT 84107

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Secondary Practice Location 1

Location 1Helix: 30 N Mario Capecchi Dr Rm 3n100Salt Lake City, UT 84112-1412 · Phone (801) 581-2121

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Tasevac Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153739123

PECOS Enrollment IDI20251209003317

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 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

$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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims12 services$67.60 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims12 services$32.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ANASTASIYA MANKOUSKI MD

Pediatrics (Neonatal-Perinatal Medicine)

5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107

Salt Lake County (801) 507-7000

TARYN A. YOUNG MD

Hospitalist

5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107

Salt Lake County (801) 507-4384

NATHANIEL ALAN KELLER DPT

Physical Therapist

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (805) 798-2901

JENNIFER LAWLEY RN

Student in an Organized Health Care Education/Training Program

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-7000

DR. JARED DAVID MILLER MD

Internal Medicine (Clinical Cardiac Electrophysiology)

5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107

Salt Lake County (801) 507-3500

JONATHAN MIDDLEMISS PA-C

Physician Assistant

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-3460

RICHA PARAG SHETH MD

Internal Medicine

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-7000

ANDREW SCOTT BIESINGER NP

Nurse Practitioner

5121 S COTTONWOOD ST
MURRAY, UT 84107

Salt Lake County (801) 507-3462

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 Benjamin Tasevac's NPI number?

The NPI number for Benjamin Tasevac is 1669052361. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Benjamin Tasevac located?

Benjamin Tasevac practices at 5121 S Cottonwood St, Salt Lake City, UT 84107. The listed phone number is (801) 507-7000.

What is Benjamin Tasevac's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Benjamin Tasevac enrolled in Medicare?

Yes. Benjamin Tasevac is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Tasevac was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.