DR. NICHOLAS S. GRAVBROT MD
NPI 1871171314
Radiology - Radiation Oncology in Salt Lake City, UT

Q: What is Nicholas Gravbrot's NPI number?

The NPI number for Nicholas Gravbrot is 1871171314. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Q: What is Nicholas Gravbrot's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Gravbrot was last updated on August 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2021PECOS Enrolled

1950 CIRCLE OF HOPE DR RM 1570, SALT LAKE CITY, UT 84112(801) 581-5498 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2022, Mar 29, 2021 (2 updates tracked since 2021).

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About Dr. Nicholas S. Gravbrot Md NPPES

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

DR. NICHOLAS S. GRAVBROT MD (NPI 1871171314) is an individual radiation oncology provider in Salt Lake City, Utah, licensed in Utah (12974694-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Murray.

NPPES Registry Identity

NPI1871171314

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. NICHOLAS S. GRAVBROTCredential: MD

Location Address1950 CIRCLE OF HOPE DR RM 1570Salt Lake City, UT 84112-5500

Mailing Address1950 Circle Of Hope Dr Rm 1570Salt Lake City, UT 84112-5500 · (801) 581-5498

Phone(801) 581-5498

Sole ProprietorNo

Enumeration DateMarch 29, 2021

Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration

NPPES CertifiedAugust 15, 2022

✔ NPI 1871171314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in UT · 12974694-1205

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

1950 CIRCLE OF HOPE DR RM 1570, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 15169 S Cottonwood St Ste 303Murray, UT 84107-6768 · Phone (801) 507-3750

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas S. Gravbrot 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.

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

$166.03 typical visit price

range $54.34 – $166.03

Typical copayment $41.50 (range $13.58 – $41.50)

Most-billed visit code 99205

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.

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN L. MATEKEL DO

Radiology (Radiation Oncology)