DR. HANNA DOROTHEE HARTMAN (MD) – Family Medicine Physician, NPI 1144751611
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,136 FAMILY PRACTICE in UT
Provider Addresses for DR. HANNA DOROTHEE HARTMAN (MD)
1388 S Navajo St
Salt Lake City, UT 841043493
Phone: (801) 955-2360
Fax: (877) 497-4661
Type: Location
498, Main Street, Tulelake, Siskiyou County, California, 96134, United States
TULELAKE, CA 961349411
Phone: (530) 999-9060
Type: Mailing
2621 S 3270 W
WEST VALLEY CITY, UT 841191119
Phone: (385) 261-2614
Fax: (877) 497-4661
Type: Mailing
1388 S NAVAJO ST
SALT LAKE CITY, UT 841043493
Phone: (801) 955-2360
Fax: (877) 497-4661
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
54 N 800 W
SALT LAKE CITY, UT 841163326
Phone: (801) 408-8654
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-03-01 • Largest payer in this snapshot: Indivior Inc. ($17).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $17 |
| GlaxoSmithKline, LLC. | $15 |
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: 2022-11-14
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 |
|---|---|---|---|---|
| I20221114002316 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | UT | |
| Family Practice | UT | |
| Family Practice | ID | |
| Family Practice | IL | |
| Internal Medicine | TX | |
| Clinical Social Worker | UT | |
| Nurse Practitioner | UT | |
| - | UT | |
| Family Practice | MN | |
| Family Practice | UT |
Reviews
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