Salt Lake Dermatology and Aesthetics PC
NPI 1669059713 · Dermatology Physician · Salt Lake City, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Salt Lake Dermatology and Aesthetics PC is a Dermatology Physician organization in Salt Lake City, UT (NPI 1669059713).
Provider details
- NPI number
- 1669059713
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Sotiriou, Owner(801) 521-5630
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-25
- Last updated
- 2021-04-12
- Certified
- 2021-04-12
Frequently asked questions
- What is Salt Lake Dermatology and Aesthetics PC's NPI number?
- Salt Lake Dermatology and Aesthetics PC's National Provider Identifier (NPI) is 1669059713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Salt Lake Dermatology and Aesthetics PC?
- Salt Lake Dermatology and Aesthetics PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Salt Lake Dermatology and Aesthetics PC located?
- Salt Lake Dermatology and Aesthetics PC's practice location on file with NPPES is 250 E 300 S Ste 120, Salt Lake City, UT 84111-2418.
- What is Salt Lake Dermatology and Aesthetics PC's phone number?
- The practice phone number listed in the NPPES registry for Salt Lake Dermatology and Aesthetics PC is (801) 521-5630.
- Does Salt Lake Dermatology and Aesthetics PC accept Medicare?
- Salt Lake Dermatology and Aesthetics PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Salt Lake Dermatology and Aesthetics PC?
- The authorized official listed on Salt Lake Dermatology and Aesthetics PC's NPPES record is Michael Sotiriou, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Salt Lake Dermatology and Aesthetics PC's NPI active?
- Yes — Salt Lake Dermatology and Aesthetics PC's NPI (1669059713) is active in the NPPES registry as of the last update on 2021-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.