ERMITA BORT (MD) – Hospitalist Physician, NPI 1649475120

ERMITA BORT (MD) is a healthcare provider. based in Sandy, Utah. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 575633-1205 (UT). The NPI Number for ERMITA BORT (MD) is 1649475120

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
ERMITA BORT (MD)
NPI
1649475120
Phone
(801) 318-2894
Address
2055 VILLAGE POINT WAY
Enumeration Date
15 June 2007
Last Update Date
3 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017835011
Graduation Year
1985 (41 years ago)
PAC ID
7416041140
Group Practice PAC ID
4789807165
Professional Enrollment ID
I20070925000634
Address ID
UT841241300SA1200X3900300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

903 INTERNAL MEDICINE in UT

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Provider Addresses for ERMITA BORT (MD)

  • 2055, Village Point Way, Ponderosa Estates, Raintree Village, Sandy, Salt Lake County, Utah, 84093, United States

    SANDY, UT 840932681

    Phone: (801) 318-2894

    Fax: (801) 944-3729

    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: 2007-09-25

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
I20070925000634IInternal 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes215210$0
99497Advance care planning, first 30 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 84093)

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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: 4789807165View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseGA
-NV
Nurse PractitionerUT
Internal MedicineID
Internal MedicineOR
Family PracticeID
Emergency MedicineCO
Family PracticeUT
-UT
Internal MedicineUT

Reviews

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Frequently asked questions

Is there an official ID for ERMITA BORT (MD) in U.S. healthcare records?
The official identifier for ERMITA BORT (MD) is NPI 1649475120.
Is there an active status for ERMITA BORT (MD)?
For scheduling context, ERMITA BORT (MD) is shown as active in the registry.
What clinical focus is listed for ERMITA BORT (MD)?
At a glance, ERMITA BORT (MD) is tied to Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is ERMITA BORT (MD) located near Sandy?
ERMITA BORT (MD) currently maps to Sandy, Utah in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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