PAUL C. BLUTH MD
NPI 1780209544
Pediatrics in Salt Lake City, UT

Q: What is Paul Bluth's NPI number?

The NPI number for Paul Bluth is 1780209544. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Q: What is Paul Bluth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Bluth was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 08, 2020PECOS Enrolled

81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5700 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2023, Jan 24, 2022, Jun 8, 2020 (3 updates tracked since 2020).

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About Paul C. Bluth Md NPPES

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

PAUL C. BLUTH MD (NPI 1780209544) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (12664865-1205) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780209544

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NamePAUL C. BLUTHCredential: MD

Location Address81 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1125

Mailing Address81 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · (801) 662-5700

Phone(801) 662-5700

Sole ProprietorNo

Enumeration DateJune 8, 2020

Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration

NPPES CertifiedOctober 17, 2023

✔ NPI 1780209544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in UT · 12664865-1205

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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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 (PECOS)

Paul C. Bluth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Paul Bluth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lurie Children's Medical Group Inc

1,258 mi

Pediatrics

225 E CHICAGO AVE
Chicago, IL 60611

Reassigned Medicare billing, Illinois enrollment
826 clinicians in this Medicare group

NPI 1518064716 (312) 227-6412

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 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

$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.

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 Paul Bluth's NPI number?

The NPI number for Paul Bluth is 1780209544. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Where is Paul Bluth located?

Paul Bluth practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5700.

What is Paul Bluth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Bluth enrolled in Medicare?

Yes. Paul Bluth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Bluth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Bluth reassigns Medicare benefits to Lurie Children's Medical Group Inc (Chicago, IL). 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 Paul Bluth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Bluth was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.