JODI SOUTHAM M.D.
NPI 1942422167
Orthopaedic Surgery in Salt Lake City, UT

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
590 S WAKARA WAY, SALT LAKE CITY, UT 84108(801) 587-5455 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jodi Southam M.d. NPPES

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

JODI SOUTHAM M.D. (NPI 1942422167) is an individual orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (7618740-1205) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2005).

NPPES Registry Identity

NPI1942422167
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameJODI SOUTHAMCredential: M.D.
Location Address590 S WAKARA WAYSalt Lake City, UT 84108-1200
Mailing Address417 E 300 S Apt 9Salt Lake City, UT 84111-2672 · (202) 746-0089
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2005
Enumeration DateMay 3, 2007
Last NPPES UpdateFebruary 4, 2022
NPI 1942422167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in UT · 7618740-1205 Licensed in PA · MT186754
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

590 S WAKARA WAY, Salt Lake City, UT 84108

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

Jodi Southam 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.

PECOS PAC ID3274726427
PECOS Enrollment IDI20130614000004
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 84108 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
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.

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.

Orthopaedic Surgery
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Student in an Organized Health Care Education/Training Program
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Physician Assistant
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Emergency Medicine
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108

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 Jodi Southam's NPI number?

The NPI number for Jodi Southam is 1942422167. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Jodi Southam located?

Jodi Southam practices at 590 S Wakara Way, Salt Lake City, UT 84108. The listed phone number is (801) 587-5455.

What is Jodi Southam's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jodi Southam enrolled in Medicare?

Yes. Jodi Southam 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 Jodi Southam accept?

Health plans from Kaiser Permanente list Jodi Southam 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 Jodi Southam was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.