DR. PAUL S GILMORE (M.D.) – Internal Medicine Physician, NPI 1487621389

DR. PAUL S GILMORE (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 6187978-1205 (UT). The NPI Number for DR. PAUL S GILMORE (M.D.) is 1487621389

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL S GILMORE (M.D.)
NPI
1487621389
Phone
(801) 266-3418
Address
1160 E 3900 S
Enumeration Date
1 March 2006
Last Update Date
9 March 2021

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5417325250
Graduation Year
1980 (46 years ago)
PAC ID
8426003401
Group Practice PAC ID
3476450560
Professional Enrollment ID
I20160901001445

Contacts

Secure Messaging
pgilmore677005@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

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Provider Addresses for DR. PAUL S GILMORE (M.D.)

  • 1160, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States

    SUITE 2000

    SALT LAKE CITY, UT 841241202

    Phone: (801) 266-3418

    Fax: (801) 288-4456

    Mailing address matches the actual address.

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: 2016-09-01

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
I20160901001445IInterventional CardiologyORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84124)

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Provider's Procedures

DR. PAUL S GILMORE (M.D.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYUT85610Blood test, clotting time233112

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: 3476450560View full group profile
NameSpecialtyState
-OR
Family PracticeOR
-OR
Nurse PractitionerOR
Nurse PractitionerOR
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyOR
Emergency MedicineOR
Emergency MedicineAZ
-OR
Internal Medicine, Hospitalist, Internal MedicineFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. PAUL S GILMORE (M.D.)?
DR. PAUL S GILMORE (M.D.) — NPI 1487621389 — is the standard way to identify this listing.
Can I rely on DR. PAUL S GILMORE (M.D.) being an active provider?
As of the registry snapshot, DR. PAUL S GILMORE (M.D.) is marked active.
What is DR. PAUL S GILMORE (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. PAUL S GILMORE (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PAUL S GILMORE (M.D.) on a map?
Expect Salt Lake City, Utah as a primary anchor for DR. PAUL S GILMORE (M.D.) unless the record lists multiple sites.
Why does DR. PAUL S GILMORE (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.