Raoul Devin Nelson

Pediatric Nephrology | Male

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Complete Profile:

Raoul Devin Nelson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Raoul Devin Nelson
Gender :	Male

Business Address:

Raoul Devin Nelson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	100 Mario Capecchi Dr Salt Lake City, UT, 84113-1103 United States
Phone Number :	801-587-7575

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1972682540
NPI Entity Type :	Individual
First Enrolment Date :	03 Nov, 2006
Last Updated On :	08 Nov, 2021

Medicare Participation:

Raoul Devin Nelson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6002863982
Medicare Enrollment ID :	I20050402000004
Primary Specialty :	Pediatric Medicine
Medical School :	Washington University School Of Medicine
Graduation Year :	1986
Accepts Medicare?	Yes. Raoul Devin Nelson accepts medicare insurance.

Group Practice Association:

Raoul Devin Nelson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Raoul Devin Nelson is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Utah Pediatric Services	0547552473	52	100 N Mario Capecchi Dr Salt Lake City, UT - 841131103 Ph: 8015877109	Yes
University Of Utah Pediatric Services	0547552473	52	81 N Mario Capecchi Dr Salt Lake City, UT - 841131125 Ph: 8012133599	Yes
Intermountain Healthcare Services, Inc	1850209420	2610	100 Mario Capecchi Dr Salt Lake City, UT - 841131103 Ph: 8016626755	Yes
Intermountain Healthcare Services, Inc	1850209420	2610	81 N Mario Capecchi Dr Primary Childrens Salt Lake City, UT - 841131125 Ph: 8016621000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Raoul Devin Nelson are as mentioned. Primary taxonomy code for Raoul Devin Nelson is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	177029-1205	UT

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 413021 Salt Lake City, UT, 84141-3021 United States
Phone Number :	801-213-3900

Business Location:

Patients can refer following map for directions to Raoul Devin Nelson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.