DR. NICOLA LONGO (MD) – Clinical Genetics (M.D.) Physician, NPI 1275612749
Clinical Genetics (M.D.) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6 MEDICAL GENETICS AND GENOMICS in UT
Provider Addresses for DR. NICOLA LONGO (MD)
30 North Mario Capecchi Dr
Salt Lake City, UT 84112
Phone: (801) 213-3599
Type: Location
1 Breakthrough Way
Las Vegas, NV 891353011
Phone: (702) 732-1493
Fax: (702) 732-1080
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone: (310) 301-8732
Type: Mailing
300 MEDICAL PLAZA SUITE 3100
LOS ANGELES, CA 900951287
Phone: (310) 301-8732
Type: Location
295, Chipeta Way, Research Park, Salt Lake City, Salt Lake County, Utah, 84108, United States
SALT LAKE CITY, UT 841081287
Phone: (801) 213-3900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 87 Open Payments records for all available years, with a total value of $103,439.
Total Amount is formed as General ($103,439) + Research ($0) + Ownership ($0) = $103,439.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: PTC Therapeutics, Inc. ($43,803).
Total Amount
$103,439
General + Research + Ownership
Payments
87
Total payment records
General Amount
$103,439
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PTC Therapeutics, Inc. | $43,803 |
| GENZYME CORPORATION | $17,377 |
| BioMarin Pharmaceutical Inc. | $15,517 |
| ModernaTX, Inc. | $10,859 |
| Amgen Inc. | $8,791 |
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: 2024-05-28
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20050209000327 | I | Pediatric Medicine | UT | TBD |
| I20160216001156 | I | Pediatric Medicine | NV | TBD |
| I20191008000828 | I | Medical Genetics And Genomics | TX | TBD |
| I20240528002974 | I | Medical Genetics And Genomics | CA | 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.
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 84112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Cardiovascular Disease (Cardiology), Pediatric Medicine | CA | |
| Pediatric Medicine, Neurology | NJ | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Internal Medicine, Pediatric Medicine | CA | |
| - | CA |
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