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

Dr. Payam Tristani-Firouzi, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1407943921

Dr. Payam Tristani-Firouzi, MD is a Dermatology in Provo, Utah. Graduated from University of Minnesota Medical School in 1996, 30 years ago. Practices with Dermatology Division University of Utah Medical Center, a 75-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
30
Trained at
University of Minnesota Medical School
Licensed in
UT
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1055 N 500 W Ste 111
Provo, UT 84604-3305
Phone: (801) 374-8999
Fax: (801) 429-8063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 N Medical Dr, Salt Lake City, UT 84132-1100 — (801) 581-2955

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 3496681205 (UT)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 3496681205 (UT)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 3496681205 (UT)

Record details

NPI number1407943921
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 6, 2006
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1996 (30 years in practice)
Group practice Dermatology Division University Of Utah Medical Center — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount