Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Johnson-Bazira

Individual provider Pediatric Hematology & Oncology Physician · NPI 1578926861

Amanda Johnson-Bazira is a Pediatric Medicine in Salt Lake City, Utah. Graduated from University of Minnesota Medical School in 2016, 10 years ago. Practices with University of Utah Pediatric Services, a 119-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Trained at
University of Minnesota Medical School
Licensed in
UT
In the registry since
2016
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Practice location Address checks out

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (651) 207-3255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 13348453-1205 (UT)

Record details

NPI number1578926861
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2016
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice University Of Utah Pediatric Services — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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