SAMANTHA S. FUKUTOMI MD, MPH
NPI 1700346145
Obstetrics & Gynecology - Reproductive Endocrinology in Salt Lake City, UT
About Samantha S. Fukutomi Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA S. FUKUTOMI MD, MPH (NPI 1700346145) is an individual reproductive endocrinology provider in Salt Lake City, Utah, licensed in Utah (13312645-1205) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted 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)
Samantha S. Fukutomi Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84132
SALT LAKE CITY, UT 84132
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 Samantha Fukutomi's NPI number?
The NPI number for Samantha Fukutomi is 1700346145. It was assigned to this individual provider in the NPPES registry on March 21, 2019. The provider is also known as Samantha Kodama.
Where is Samantha Fukutomi located?
Samantha Fukutomi practices at 30 N 1900 E Rm 2b200, Salt Lake City, UT 84132. The listed phone number is (801) 581-2121.
What is Samantha Fukutomi's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.
Is Samantha Fukutomi enrolled in Medicare?
Yes. Samantha Fukutomi is registered in the Medicare PECOS enrollment system.
What insurance does Samantha Fukutomi accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Samantha Fukutomi 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 Samantha Fukutomi was last updated on January 26, 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.
# Samantha S. Fukutomi, MD, MPH · NPI 1700346145
Reproductive Endocrinology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since March 21, 2019.
## Identity
- **NPI:** 1700346145 (Entity type: Individual)
- **Enumerated:** March 21, 2019
- **Primary specialty:** Obstetrics & Gynecology - Reproductive Endocrinology · taxonomy 207VE0102X
- **State license:** 13312645-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 N 1900 E RM 2B200, Salt Lake City, UT 84132-0002
- **Phone:** (801) 581-2121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700346145) · Data from the CMS NPPES public registry.