Nicole E. Birrer, MD
Internal Medicine, Hematology & Oncology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1124657259
StatusActive
Last updated in NPPESAug 26, 2026
Details
- NPI
- 1124657259
- Entity type
- Individual (NPI-1)
- Name
- Nicole E. Birrer
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2020
- Certification date
- Aug 26, 2026
- Last updated
- Aug 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HEMATOLOGY/ONCOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | 12419678-1205 | UT | Yes |
| 207R00000X | Internal Medicine | 12419678-1205 | UT |
Practice location
30 N 1900 E Rm 4c104Salt Lake City, UT 84132-0002
Phone 801-581-7606
Mailing address
30 N 1900 E Rm 4c104Salt Lake City, UT 84132-0002
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