NATHAN C MCKELLAR (DO) – Family Medicine Physician, NPI 1508844853

Family Medicine Physician

NATHAN C MCKELLAR (DO) is a healthcare provider. based in Taylorsville, Utah. specializing in Family Medicine Physician. They hold the professional credentials DO. They hold a License No. 9335759-1204 (UT). The NPI Number for NATHAN C MCKELLAR (DO) is 1508844853

Main info

Male

24 Years Of Experience

Accepts Medicare Assignment

Name

NATHAN C MCKELLAR (DO)

NPI

1508844853

Phone

(801) 840-2000

Address

3845 W 4700 S

Enumeration Date

6 January 2006

Last Update Date

12 February 2016

Doctor Profile

Medical School Name

LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE

Secondary Phone

Graduation Year

2002 (24 years ago)

PAC ID

2567376668

Group Practice PAC ID

1850209420

Professional Enrollment ID

I20150513002385

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for NATHAN C MCKELLAR (DO)

3845, 4700 South, Taylorsville, Salt Lake County, Utah, 84129, United States
TAYLORSVILLE, UT 841293454
Phone: (801) 840-2000
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 840-2000
Type: Mailing

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: 2015-05-13

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

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
I20150513002385	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.

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 84129)

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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

Name	Specialty	State
MR. SARUNAS SLIESORAITIS (DO, PHARM D)	-	OR
BRETT A CHRISTIAN (M.D.)	Diagnostic Radiology	UT
STEPHEN CRAIG MERRELL (M.D., M.P.H.)	Family Practice	UT
MIKHAIL SHIPOTKO (MD)	H O S P I T A L I S T	UT
RICHARD OTT (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	UT
MS. SHARON A KORHEL (APRN)	-	UT
DR. TIMOTHY TRASK (M.D.)	-	UT
JAMES F ORME (MD)	-	UT
JUNE C. STEINVORTH (MD)	Family Practice	UT
RYAN NELSON JONES (M.D.)	-	UT