DR. MINA GOHARI (M.D.) – Family Medicine Physician, NPI 1083824940
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
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Provider Addresses for DR. MINA GOHARI (M.D.)
1160, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States
STE G200
SALT LAKE CITY, UT 841241202
Phone: (801) 268-7766
Fax: (201) 270-3395
Type: Mailing
PO BOX 742382
ATLANTA, GA 303742382
Phone:
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: 2010-11-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101110000397 | I | Family Practice | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 570 | 292 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 182 | 136 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 35 | 27 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 34 | 30 | $0 |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 24 | 20 | $0 |
Insurance plans in this area (ZIP 84124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Nephrology | UT | |
| Internal Medicine, Emergency Medicine | UT | |
| - | UT | |
| A N E S T H E S I O L O G Y | GA | |
| Nurse Practitioner | UT |
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