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

Dr. Mario Pucci, MD

Individual provider Family Medicine Physician · NPI 1497496087

Dr. Mario Pucci, MD is a Family Practice in Salt Lake City, Utah. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

375 S Chipeta Way Rm 201
Salt Lake City, UT 84108-1260
Phone: (801) 581-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26 S Main St, Centerville, UT 84014-1817 — (801) 693-7900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13521403-1205 (UT)

Record details

NPI number1497496087
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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