Bahman Sotoodian, MD, FRCP(C), FAAD - Medicare Dermatology in Salt Lake City, UT

Bahman Sotoodian, MD, FRCP(C), FAAD is a medicare enrolled "Dermatology" physician in Salt Lake City, Utah. His current practice location is 440 W 200 S Ste 250, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 595-1600.

Bahman Sotoodian is licensed to practice in Utah (license number 11062773-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023589611.

Contact Information

Bahman Sotoodian, MD, FRCP(C), FAAD
440 W 200 S Ste 250,
Salt Lake City, UT 84101-1462
(801) 595-1600
Not Available



Physician's Profile

Full NameBahman Sotoodian
GenderMale
SpecialityDermatology
Location440 W 200 S Ste 250, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023589611
  • Provider Enumeration Date: 12/08/2018
  • Last Update Date: 12/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547673998
  • Enrollment ID: I20210105000277

Medical Identifiers

Medical identifiers for Bahman Sotoodian such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023589611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 11062773-1205 (Utah)Primary

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. Bahman Sotoodian allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Bahman Sotoodian 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 AddressPractice Location Address
Bahman Sotoodian, MD, FRCP(C), FAAD
50 S 500 W Apt 321,
Salt Lake City, UT 84101-1295

Ph: (518) 801-7415
Bahman Sotoodian, MD, FRCP(C), FAAD
440 W 200 S Ste 250,
Salt Lake City, UT 84101-1462

Ph: (801) 595-1600

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Dermatology Doctors in Salt Lake City, UT

Caitlin Marie Bolender, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132
Phone: 801-581-5509    
Dr. Lana Ngoc Pho, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-587-6340    Fax: 801-587-6346
Justin F Thulin, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1151 E 3900 S, Parkview Building B 259, Salt Lake City, UT 84124
Phone: 801-266-7325    Fax: 801-281-2263
Amber R. Jimenez, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E # 4a330, Salt Lake City, UT 84132
Phone: 015-816-4658    
Dr. Douglas L Powell, M.D.
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-581-2955    
David A Wada, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Medical Dr # E13, Salt Lake City, UT 84132
Phone: 801-581-2955    

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