DR. DAVID MORTIN GONTRUM M.D.
NPI 1922084813
Family Medicine in Salt Lake City, UT
About Dr. David Mortin Gontrum M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID MORTIN GONTRUM M.D. (NPI 1922084813) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (350320-1205) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. David Mortin Gontrum M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84118
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 David Gontrum's NPI number?
The NPI number for David Gontrum is 1922084813. It was assigned to this individual provider in the NPPES registry on December 21, 2005.
Where is David Gontrum located?
David Gontrum practices at 4745 S 3200 W, Salt Lake City, UT 84118. The listed phone number is (801) 964-6214.
What is David Gontrum's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Gontrum enrolled in Medicare?
Yes. David Gontrum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does David Gontrum accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list David Gontrum 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 David Gontrum was last updated on November 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. David Mortin Gontrum, M.D. · NPI 1922084813
Family Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since December 21, 2005.
## Identity
- **NPI:** 1922084813 (Entity type: Individual)
- **Enumerated:** December 21, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 350320-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 4745 S 3200 W, Salt Lake City, UT 84118-2822
- **Phone:** (801) 964-6214
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** November 7, 2011
---
Source: [NPI Profile](https://npiprofile.com/npi/1922084813) · Data from the CMS NPPES public registry.