MAZEN SIRES (MD) – Hospitalist Physician, NPI 1154370765

MAZEN SIRES (MD) is a healthcare provider. based in Sandy, Utah. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 60496111205 (UT). The NPI Number for MAZEN SIRES (MD) is 1154370765

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MAZEN SIRES (MD)
NPI
1154370765
Phone
(801) 501-2140
Address
9450 S 1300 E FL 4
Enumeration Date
9 May 2006
Last Update Date
19 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013577291
Graduation Year
1997 (29 years ago)
PAC ID
2769494970
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20060706000233
Address ID
UT840032096AM170XX1100300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

903 INTERNAL MEDICINE in UT

Provider Addresses for MAZEN SIRES (MD)

  • 9450 S 1300 E FL 4

    SANDY, UT 840945555

    Phone: (801) 501-2140

    Fax: (801) 501-2188

    Type: Mailing

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Fax: (801) 501-2188

    Type: Mailing

  • 1034 N 500 W

    PROVO, UT 846043380

    Phone: (801) 357-8310

    Type: Location

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: 2006-07-06

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
I20060706000233IInternal MedicineUTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes398205$0
99239Hospital discharge day management, more than 30 minutes170165$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 84094)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MAZEN SIRES (MD) in U.S. healthcare records?
The official identifier for MAZEN SIRES (MD) is NPI 1154370765.
Active or inactive — what applies to MAZEN SIRES (MD)?
You should see MAZEN SIRES (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to MAZEN SIRES (MD)?
MAZEN SIRES (MD)'s specialty line reads Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with MAZEN SIRES (MD)?
Directory geography for MAZEN SIRES (MD) centers on Sandy, Utah.
Can I trust this NPI listing for MAZEN SIRES (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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