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KAJSA E. VLASIC MD
NPI 1861954208
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT

Active since April 04, 2019PECOS Enrolled
295 S CHIPETA WAY, SALT LAKE CITY, UT 84108(801) 587-7450 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2025, Apr 4, 2019 (2 updates tracked since 2019).

About Kajsa E. Vlasic Md NPPES

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

KAJSA E. VLASIC MD (NPI 1861954208) is an individual pediatric emergency medicine provider in Salt Lake City, Utah, licensed in Utah (12751745-1205) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1861954208
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameKAJSA E. VLASICCredential: MD
Location Address295 S CHIPETA WAYSalt Lake City, UT 84108-1287
Mailing Address295 S Chipeta WaySalt Lake City, UT 84108-1287 · (801) 587-7450
Phone(801) 587-7450
Sole ProprietorNo
Enumeration DateApril 4, 2019
Last NPPES UpdateDecember 28, 20252 updates tracked since enumeration
NPPES CertifiedDecember 28, 2025
✔ NPI 1861954208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in UT · 12751745-1205
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
295 S CHIPETA WAY, Salt Lake City, UT 84108
Open in Google Maps ↗

Secondary Practice Location 1

Location 1160 E Erie AvePhiladelphia, PA 19134-1011 · Phone (801) 819-6402

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kajsa E. Vlasic 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 Reassignments

2

Medicare enrollment records show Kajsa Vlasic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Pediatric Acuity Care
0.4 mi
Neuromuscular Medicine
501 S CHIPETA WAY
Salt Lake City, UT 84108
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1558723445 (801) 587-6336
University Of Utah Pediatric Services
0.7 mi
Pediatric Allergy/Immunology
81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 751 clinicians in this Medicare group
NPI 1023472594 (801) 587-6336

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

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.

KELLY STOUT PHD
Psychologist
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 213-3469
MALIA MONICA OLSON
Genetic Counselor, MS
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
ALEX NICOLE HESS NNP-BC
Nurse Practitioner (Neonatal)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 558-8276
KATHRYN L. SONGER MD
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7572
LAUREN MOLLY STERNBERG MD
Student in an Organized Health Care Education/Training Program
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 662-5700
RACHEL WILLIS
Nurse Practitioner (Neonatal)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400
DR. ERIN L. GOSEKAMP DO, MPH, MS
Pediatrics (Pediatric Critical Care Medicine)
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7572
GEORGE KHOURY
Student in an Organized Health Care Education/Training Program
295 S CHIPETA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7400

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 Kajsa Vlasic's NPI number?

The NPI number for Kajsa Vlasic is 1861954208. It was assigned to this individual provider in the NPPES registry on April 4, 2019.

Where is Kajsa Vlasic located?

Kajsa Vlasic practices at 295 S Chipeta Way, Salt Lake City, UT 84108. The listed phone number is (801) 587-7450.

What is Kajsa Vlasic's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Kajsa Vlasic enrolled in Medicare?

Yes. Kajsa Vlasic is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kajsa Vlasic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kajsa Vlasic reassigns Medicare benefits to 2 organizations: University Of Utah Pediatric Acuity Care (Salt Lake City, UT) and University Of Utah Pediatric Services (Salt Lake City, UT). Each 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 Kajsa Vlasic'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 Kajsa Vlasic was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.