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MARY BERNADETTE FORTINI D.O.
NPI 1689025702
Pediatrics - Pediatric Infectious Diseases in Salt Lake City, UT

Active since June 30, 2016PECOS Enrolled
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 213-3599(015) 853-7898 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 22, 2024, Aug 28, 2022, Jun 30, 2016 (3 updates tracked since 2016).

About Mary Bernadette Fortini D.o. NPPES

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

MARY BERNADETTE FORTINI D.O. (NPI 1689025702) is an individual pediatric infectious diseases provider in Salt Lake City, Utah, licensed in Utah (12831176-1204) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689025702
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameMARY BERNADETTE FORTINICredential: D.O.
Location Address81 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1125
Mailing Address982185 Nebraska Medical CtrOmaha, NE 68198-2185
Phone(801) 213-3599
Fax(015) 853-7898
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 30, 2016
Last NPPES UpdateApril 22, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1689025702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in UT · 12831176-1204
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License 7826 (NE)
81 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 (PECOS)

Mary Bernadette Fortini D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789979048
PECOS Enrollment IDI20260127002275
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.

DR. THOMAS PATRICK CURTIN M.D.
Anesthesiology
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5700
MELISSA ANN WRIGHT MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 213-3599
UNIVERSITY OF UTAH PEDIATRIC SERVICES
Pediatrics (Pediatric Allergy/Immunology)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-6336
LAURA R GARCIA GODOY MD
Hospitalist
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 581-7818
JESSICA NIELSEN FNP
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SLC, UT 84113
Salt Lake County (801) 587-2042
ANA MARIA PEREZ LCSW
Social Worker (Clinical)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
ADDISON DAY APRN
Nurse Practitioner (Family)
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ELIZABETH QIUFENG ANDERSON MD
Student in an Organized Health Care Education/Training Program
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5700

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 Mary Fortini's NPI number?

The NPI number for Mary Fortini is 1689025702. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Mary Fortini located?

Mary Fortini practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 213-3599.

What is Mary Fortini's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Mary Fortini enrolled in Medicare?

Yes. Mary Fortini is registered in the Medicare PECOS enrollment system.

What insurance does Mary Fortini accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Mary Fortini 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 Mary Fortini was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.