Salt Lake Dermatology and Aesthetics PC
NPI 1669059713ActiveOrganization· Dermatology· Salt Lake City, UT
Dermatology in Salt Lake City, Utah, registered in NPPES in March 2021. The authorized official on file is Michael C. Sotiriou, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1669059713 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2021 |
| Last updated in NPPES | Apr 12, 2021 |
| Certified by provider | Apr 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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