Tanner Ellsworth, MD
NPI 1730767872 · Pediatrics Physician · Salt Lake City, UT
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tanner Ellsworth, MD is a Pediatrics Physician provider in Salt Lake City, UT (NPI 1730767872).
Provider details
- NPI number
- 1730767872
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 12974676-1205 (UT)
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
- 2021-03-30
- Last updated
- 2022-08-10
- Certified
- 2022-08-10
Frequently asked questions
- What is Tanner Ellsworth's NPI number?
- Tanner Ellsworth's National Provider Identifier (NPI) is 1730767872, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tanner Ellsworth's specialty?
- Tanner Ellsworth is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Tanner Ellsworth located?
- Tanner Ellsworth's practice location on file with NPPES is 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125.
- What is Tanner Ellsworth's phone number?
- The practice phone number listed in the NPPES registry for Tanner Ellsworth is (801) 662-5700.
- Does Tanner Ellsworth accept Medicare?
- Tanner Ellsworth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tanner Ellsworth's NPI active?
- Yes — Tanner Ellsworth's NPI (1730767872) is active in the NPPES registry as of the last update on 2022-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.