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CONNER E. LIDDLE MD
NPI 1871344879
Internal Medicine in Salt Lake City, UT

Active since March 28, 2024PECOS Enrolled
30 NORTH MARIO CAPECCHI DR, SALT LAKE CITY, UT 84112(801) 581-7606 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Conner E. Liddle Md NPPES

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

CONNER E. LIDDLE MD (NPI 1871344879) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (14240597-1205) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871344879
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCONNER E. LIDDLECredential: MD
Location Address30 NORTH MARIO CAPECCHI DRSalt Lake City, UT 84112
Mailing Address30 North Mario Capecchi DrSalt Lake City, UT 84112 · (801) 581-7606
Phone(801) 581-7606
Sole ProprietorNo
Enumeration DateMarch 28, 2024
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1871344879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 14240597-1205
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
30 NORTH MARIO CAPECCHI DR, Salt Lake City, UT 84112
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conner E. Liddle 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
$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 12

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

GARRETT SMITH MD
Student in an Organized Health Care Education/Training Program
30 NORTH MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7899
DR. MARISA ELISA CANNON RINDLISBACHER MD
Student in an Organized Health Care Education/Training Program
30 NORTH MARIO CAPECCHI DR, 3RD FLOOR NORTH
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7899
ARANKESH MAHADEVAN MD
Psychiatry & Neurology (Neurology)
30 NORTH MARIO CAPECCHI DR, 3RD FLOOR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7606
JONI AOKI MD
Internal Medicine
30 NORTH MARIO CAPECCHI DR, 3RD FLOOR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7606
JACKSON S. BURTON MD
Internal Medicine
30 NORTH MARIO CAPECCHI DR, 3RD FLOOR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7606
ANILA MEHTA MD
Internal Medicine
30 NORTH MARIO CAPECCHI DR, THIRD FLOOR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7606
DR. CHRISTINA MARIE DRUSKOVICH MD
Student in an Organized Health Care Education/Training Program
30 NORTH MARIO CAPECCHI DR, 3RD FLOOR NORTH
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7899
MICHAEL JAMES BRAMAN MD
Student in an Organized Health Care Education/Training Program
30 NORTH MARIO CAPECCHI DR, 3RD FLOOR NORTH
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7899

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 Conner Liddle's NPI number?

The NPI number for Conner Liddle is 1871344879. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Conner Liddle located?

Conner Liddle practices at 30 North Mario Capecchi Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-7606.

What is Conner Liddle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Conner Liddle enrolled in Medicare?

Yes. Conner Liddle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Conner Liddle was last updated on October 2, 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.