DR. DOLLY LOUISE PEACH (M.D.) – Internal Medicine Physician, NPI 1447276076

DR. DOLLY LOUISE PEACH (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 54147231205 (UT). The NPI Number for DR. DOLLY LOUISE PEACH (M.D.) is 1447276076

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOLLY LOUISE PEACH (M.D.)
NPI
1447276076
Phone
(801) 387-3654
Address
PO BOX 27128
Enumeration Date
15 July 2006
Last Update Date
9 July 2008

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
8013872800
Graduation Year
2002 (24 years ago)
PAC ID
6002848801
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20050831000939
Address ID
UT844033195OG4401XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

903 INTERNAL MEDICINE in UT

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Provider Addresses for DR. DOLLY LOUISE PEACH (M.D.)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 387-3654

    Type: Mailing

  • McKay-Dee Hospital, 4401, Harrison Boulevard, Ogden, Weber County, Utah, 84403, United States

    OGDEN, UT 844033195

    Phone: (801) 387-3654

    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: 2005-08-31

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
I20050831000939IInternal 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 minutes19195$0
99238Hospital discharge day management, 30 minutes or less7474$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3534$0
View full utilization report →

Insurance plans in this area (ZIP 84127)

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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

Does DR. DOLLY LOUISE PEACH (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. DOLLY LOUISE PEACH (M.D.) uses 1447276076.
Is DR. DOLLY LOUISE PEACH (M.D.) listed as active for patients and plans?
The listing shows DR. DOLLY LOUISE PEACH (M.D.) as active in the NPI system.
What is DR. DOLLY LOUISE PEACH (M.D.) best known for clinically?
Directory data describes DR. DOLLY LOUISE PEACH (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DOLLY LOUISE PEACH (M.D.)?
DR. DOLLY LOUISE PEACH (M.D.)'s geographic hint is Salt Lake City, Utah in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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