DR. LAURA M. MANN (M.D.) – Neuroradiology Physician, NPI 1043638562

DR. LAURA M. MANN (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 036.167893 (IL). The NPI Number for DR. LAURA M. MANN (M.D.) is 1043638562

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA M. MANN (M.D.)
NPI
1043638562
Phone
(801) 581-2766
Address
30 N 1900 E RM 1A071
Enumeration Date
1 April 2014
Last Update Date
30 April 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4358821674
Graduation Year
2014 (12 years ago)
PAC ID
2668760851
Group Practice PAC ID
2466624630
Professional Enrollment ID
I20220422001358
Address ID
UT840743409TO2356X400X303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:12State licenses:2Digital endpointsOther names

345 DIAGNOSTIC RADIOLOGY in UT

Provider Addresses for DR. LAURA M. MANN (M.D.)

  • 30 N 1900 E RM 1A071

    SALT LAKE CITY, UT 841322140

    Phone: (801) 581-2766

    Type: Location

  • 530 NE Glen Oak Ave

    Peoria, IL 616372140

    Phone: (309) 655-2000

    Type: Location

  • 601 Elmwood Ave

    BOX SURG

    Rochester, NY 146420001

    Phone: (585) 275-8762

    Type: Location

  • 601 ELMWOOD AVE

    BOX SURG

    ROCHESTER, NY 146420001

    Phone: (585) 275-8762

    Type: Mailing

  • 111 OAKWOOD RD

    EAST PEORIA, IL 616111853

    Phone: (309) 740-4272

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220422001358IDiagnostic RadiologyUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9575Injection, gadoterate meglumine, 0.1 ml1,80011$0
71045X-ray of chest, 1 view400378$0
72148Mri scan of lower spinal canal without contrast265263$0
70450Ct scan head or brain without contrast259248$0
70551Mri scan of brain without contrast118117$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466624630View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyCO
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT

Reviews

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Frequently asked questions

Is DR. LAURA M. MANN (M.D.) listed with a National Provider Identifier?
Yes — DR. LAURA M. MANN (M.D.) has NPI 1043638562 on file in the registry.
Is DR. LAURA M. MANN (M.D.) shown as active in public data?
Registry records indicate DR. LAURA M. MANN (M.D.) maintains an active NPI.
What clinical focus is listed for DR. LAURA M. MANN (M.D.)?
At a glance, DR. LAURA M. MANN (M.D.) is tied to Neuroradiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LAURA M. MANN (M.D.)?
Travel planning: use Salt Lake City, Utah as the reference point for DR. LAURA M. MANN (M.D.), then confirm.
Does DR. LAURA M. MANN (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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