DR. CLARIVETTE BOSCH (MD) – Family Medicine Physician, NPI 1245320860

DR. CLARIVETTE BOSCH (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 5618704-1205 (UT). The NPI Number for DR. CLARIVETTE BOSCH (MD) is 1245320860

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLARIVETTE BOSCH (MD)
NPI
1245320860
Phone
(801) 213-3900
Address
PO BOX 510708
Enumeration Date
13 October 2006
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3854545027
Graduation Year
1993 (33 years ago)
PAC ID
0749254381
Group Practice PAC ID
6002337243
Professional Enrollment ID
I20251029002987
Address ID
TX751156251DE207XXRDXX400

Contacts

Secure Messaging
cbosch4897@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,136 FAMILY PRACTICE in UT

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Provider Addresses for DR. CLARIVETTE BOSCH (MD)

  • PO BOX 510708

    SALT LAKE CITY, UT 841510708

    Phone: (801) 213-3900

    Type: Mailing

  • 1525, 2100 South, Salt Lake City, Salt Lake County, Utah, 84119, United States

    SALT LAKE CITY, UT 841191401

    Phone: (801) 213-9900

    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: 2025-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040820000486IFamily PracticeUTTBD
I20251029002987IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10758$0
99213Established patient office or other outpatient visit, 20-29 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 84151)

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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: 6002337243View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineUT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to DR. CLARIVETTE BOSCH (MD)?
The federal identifier for DR. CLARIVETTE BOSCH (MD) is NPI 1245320860.
Is DR. CLARIVETTE BOSCH (MD) active in the national directory?
DR. CLARIVETTE BOSCH (MD)'s public NPI profile is in an active state.
What field does DR. CLARIVETTE BOSCH (MD) work in?
You can think of DR. CLARIVETTE BOSCH (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. CLARIVETTE BOSCH (MD)?
We surface Salt Lake City, Utah for DR. CLARIVETTE BOSCH (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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