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

Raoul Devin Nelson

Individual provider Pediatric Nephrology Physician · NPI 1972682540

Raoul Devin Nelson is a Pediatric Medicine in Salt Lake City, Utah. Graduated from Washington University School of Medicine in 1986, 40 years ago. Practices with University of Utah Pediatric Services, a 119-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
40
Trained at
Washington University School of Medicine
Licensed in
UT
In the registry since
2006

Practice location Address checks out

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 587-7575
Show map & directions

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

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence 177029-1205 (UT)

Record details

NPI number1972682540
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing addressPo Box 413021, Salt Lake City, UT 84141-3021

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesNEPHROLOGY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice University Of Utah Pediatric Services — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salt Lake City