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REHAM MOHAMMED I ELLESSY MD
NPI 1740038850
Radiology - Diagnostic Radiology in Salt Lake City, UT

Active since May 13, 2024PECOS EnrolledAccepts Medicare Assignment
30 N. MARIO CAPECCHI DR, 2S106, SALT LAKE CITY, UT 84112(847) 834-5907 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, May 13, 2024 (2 updates tracked since 2024).

About Reham Mohammed I Ellessy Md NPPES

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

REHAM MOHAMMED I ELLESSY MD (NPI 1740038850) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (14098529-1252) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740038850
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameREHAM MOHAMMED I ELLESSYCredential: MD
Location Address30 N. MARIO CAPECCHI DR, 2S106Salt Lake City, UT 84112
Mailing Address30 N. Mario Capecchi Dr, 2s106Salt Lake City, UT 84112
Phone(847) 834-5907
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 13, 2024
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1740038850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in UT · 14098529-1252
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
30 N. MARIO CAPECCHI DR, 2S106, Salt Lake City, UT 84112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Reham Mohammed I Ellessy 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 ID6709327067
PECOS Enrollment IDI20240926001749
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.

Medicare Billing Reassignment

Medicare enrollment records show Reham Mohammed I Ellessy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Adult Services
0.1 mi
Otolaryngology
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1003210808 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Reham Mohammed I Ellessy's NPI number?

The NPI number for Reham Mohammed I Ellessy is 1740038850. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Reham Mohammed I Ellessy located?

Reham Mohammed I Ellessy practices at 30 N. Mario Capecchi Dr, 2s106, Salt Lake City, UT 84112. The listed phone number is (847) 834-5907.

What is Reham Mohammed I Ellessy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Reham Mohammed I Ellessy enrolled in Medicare?

Yes. Reham Mohammed I Ellessy 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.

Which organization bills Medicare for Reham Mohammed I Ellessy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reham Mohammed I Ellessy reassigns Medicare benefits to University Of Utah Adult Services (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Reham Mohammed I Ellessy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Reham Mohammed I Ellessy affiliated with any hospitals?

According to CMS data, Reham Mohammed I Ellessy is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Reham Mohammed I Ellessy was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.