TALA'AT AL-SHUQAIRAT (MD) – Pulmonary Disease Physician, NPI 1104875574
Pulmonary Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
153 PULMONARY DISEASE in UT
Provider Addresses for TALA'AT AL-SHUQAIRAT (MD)
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATTN: CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing
555 W SR 164
SALEM, UT 846531666
Phone: (801) 465-4813
Fax: (801) 812-5433
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 336 Open Payments records for all available years, with a total value of $110,281.
Total Amount is formed as General ($110,281) + Research ($0) + Ownership ($0) = $110,281.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($86,857).
Total Amount
$110,281
General + Research + Ownership
Payments
336
Total payment records
General Amount
$110,281
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $86,857 |
| Mylan Specialty L.P. | $13,754 |
| Regeneron Healthcare Solutions, Inc. | $2,604 |
| GENZYME CORPORATION | $1,623 |
| Olympus Corporation of the Americas | $1,483 |
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: 2006-08-09
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 |
|---|---|---|---|---|
| I20060809000497 | I | Pulmonary Disease | 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 |
|---|---|---|---|---|
| 94729 | Test to examine how well the lungs exchange gases | 441 | 434 | $0 |
| 94727 | Test to determine lung volumes using gas dilution or washout | 441 | 434 | $0 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 385 | 379 | $0 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 380 | 373 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 306 | 48 | $0 |
Insurance plans in this area (ZIP 84604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | UT | 90670 | Pneumococcal vaccine for injection into muscle | 14 | 14 |
| PULMONARY DISEASE | UT | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 76 | 76 |
| PULMONARY DISEASE | UT | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 314 | 134 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT | |
| Physical Therapist In Private Practice | UT | |
| Orthopedic Surgery | UT | |
| Nurse Practitioner | OR | |
| - | FL | |
| - | UT | |
| - | UT | |
| Nurse Practitioner | UT | |
| - | UT |
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