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PROVIDER SURGICAL SERVICES
NPI 1871030742
Surgery in Salt Lake City, UT

Active since January 30, 2017
1046 E 100 S, SUITE 400, SALT LAKE CITY, UT 84102(801) 746-2885(801) 746-2886 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2022, Dec 12, 2019, Jan 30, 2017 (3 updates tracked since 2017).

About Provider Surgical Services NPPES

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

PROVIDER SURGICAL SERVICES (NPI 1871030742) is a healthcare organization registered as a surgery in Salt Lake City, Utah and active in the NPI registry since January 2017. The organization lists Daniel R Cottam, Owner, as its authorized official.

NPPES Registry Identity

NPI1871030742
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDANIEL R COTTAM MD PC
Location Address1046 E 100 S, SUITE 400Salt Lake City, UT 84102-1520
Mailing Address1046 E 100 S, Suite 400Salt Lake City, UT 84102-1520 · (801) 746-2885 · Fax (801) 746-2886
Phone(801) 746-2885
Fax(801) 746-2886
Organization SubpartNo
Authorized OfficialDaniel R CottamOwner · (801) 523-0305
Enumeration DateJanuary 30, 2017
Last NPPES UpdateJanuary 10, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
✔ NPI 1871030742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1046 E 100 S, Salt Lake City, UT 84102
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Other Names 1

Doing Business AsProvider Surgical Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Provider Surgical Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Provider Surgical Services, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Elizabeth Jacobs, FNP-C
Nurse Practitioner
NPI 1083351498
2319 S HANNIBAL ST
Salt Lake City, UT 84106
(208) 914-4446
✔ PECOS✔ Accepts Medicare3.4 mi
Legrand Belnap, M.D.
General Surgery
NPI 1225060676
1250 E 3900 S STE 220
Salt Lake City, UT 84124
(801) 262-9782
✔ PECOS✔ Accepts Medicare5.6 mi

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

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 Daniel R Cottam MD PC's NPI number?

The NPI number for Daniel R Cottam MD PC is 1871030742. It was assigned to this organization in the NPPES registry on January 30, 2017. The provider is doing business as Provider Surgical Services.

Where is Daniel R Cottam MD PC located?

Daniel R Cottam MD PC is located at 1046 E 100 S Suite 400, Salt Lake City, UT 84102. The listed phone number is (801) 746-2885.

What is Daniel R Cottam MD PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Daniel R Cottam MD PC enrolled in Medicare?

Yes. Daniel R Cottam MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Daniel R Cottam MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Daniel R Cottam MD PC, in General Surgery and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Daniel R Cottam MD PC was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.