DR. RAZA ALI PATEL M.D.
NPI 1831340231
Pediatrics - Pediatric Gastroenterology in Salt Lake City, UT

Q: What is Raza Patel's NPI number?

The NPI number for Raza Patel is 1831340231. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Q: What is Raza Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Raza Patel was last updated on July 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since October 02, 2008PECOS Enrolled

81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 213-3599 Get Directions Write a Review

NPPES record last updated: July 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Dr. Raza Ali Patel M.d. NPPES

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

DR. RAZA ALI PATEL M.D. (NPI 1831340231) is an individual pediatric gastroenterology provider in Salt Lake City, Utah, licensed in Utah (7849311-1205) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831340231

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameDR. RAZA ALI PATELCredential: M.D.

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

Mailing Address81 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · (801) 213-3599

Phone(801) 213-3599

Sole ProprietorYes

Enumeration DateOctober 2, 2008

Last NPPES UpdateJuly 27, 2025

NPPES CertifiedJuly 27, 2025

✔ NPI 1831340231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Licenses✔ Licensed in UT · 7849311-1205✔ Licensed in NY · 248596

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

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, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raza Ali Patel M.d. 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 Raza Patel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Pediatric Services

Same address

Pediatrics

50 N MEDICAL DR
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
751 clinicians in this Medicare group

NPI 1568826055 (801) 587-6336

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

$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.

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 Raza Patel's NPI number?

The NPI number for Raza Patel is 1831340231. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Raza Patel located?

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

What is Raza Patel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Raza Patel enrolled in Medicare?

Yes. Raza Patel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raza Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raza Patel reassigns Medicare benefits to University Of Utah Pediatric 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 Raza Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raza Patel accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Raza Patel 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 Raza Patel was last updated on July 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.