Nicolas M Cordoba, MD, MBA in Salt Lake City, UT

Nicolas M Cordoba, MD, MBA is a medicare enrolled "Pediatrics" physician in Salt Lake City, Utah. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Md @ Home Illinois, Sc, Md @ Home Illinois, Sc and his current practice location is 81 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-5701.

Nicolas M Cordoba is licensed to practice in Utah (license number 11883770-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700132628.

Contact Information

	Nicolas M Cordoba, MD, MBA
	81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125
	(801) 662-5701
	Not Available

Map and Direction

Physician's Profile

Full Name	Nicolas M Cordoba
Gender	Male
Speciality	Internal Medicine
Experience	13 Years
Location	81 N Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicolas M Cordoba graduated from medical school in 2011

NPI Data:

NPI Number: 1700132628
Provider Enumeration Date: 07/29/2012
Last Update Date: 04/20/2022

Medicare PECOS Information:

PECOS PAC ID: 4486913696
Enrollment ID: I20180116001869

Medical Identifiers

Medical identifiers for Nicolas M Cordoba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700132628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	11883770-1205 (Utah)	Primary
207R00000X	Internal Medicine	036144791 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advance Home Health, Inc	Glen ellyn, IL	Home health agency
Hrs Home Health	Lombard, IL	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Md @ Home Illinois, Sc	7810167830	31
Md @ Home Illinois, Sc	7810167830	31

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicolas M Cordoba allows following entities to bill medicare on his behalf.

Entity Name	Md @ Home Illinois, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568758415 PECOS PAC ID: 7810167830 Enrollment ID: O20110831000340

Entity Name	Robert Marriott Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20200210001942

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicolas M Cordoba is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicolas M Cordoba, MD, MBA 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 Ph: (801) 662-5701	Nicolas M Cordoba, MD, MBA 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 Ph: (801) 662-5701

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
Dr. Zainab Kagen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Ste 14, Salt Lake City, UT 84108 Phone: 801-585-6943
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588

Nicolas M Cordoba, MD, MBA - Medicare Internal Medicine in Salt Lake City, UT