Shelby Maryann Moderow
- Hospital affiliations
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2022
- Practice address
- 650 S Komas Dr, Salt Lake City, UT 84108
- Practice phone
- Call (801) 587-6336
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Neurobehavior Home Program
Behavioral health practice · Salt Lake City, Utah
Find Shelby Moderow's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Shelby Maryann Moderow is a physician assistant in Salt Lake City, Utah
Shelby Moderow practices at Neurobehavior Home Program in Salt Lake City, Utah.
Shelby Moderow's NPI, 1366164535, was assigned on September 14, 2022.
- NPI
- 1366164535NPI Registry (opens in a new tab)
- Medicare PAC ID
- 4981197076
- NPI enumeration date
- September 14, 2022
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (801) 587-6336
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 30
- Medical school graduation
- 2022
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Shelby Maryann Moderow practices at Neurobehavior Home Program in Salt Lake City, Utah
Shelby Moderow's primary practice is Neurobehavior Home Program, at 650 S Komas Dr, Salt Lake City, UT 84108. The practice phone is (801) 587-6336.
- Neurobehavior Home Program650 S Komas Dr, Salt Lake City, UT 84108Phone(801) 587-6336
Source: Dmand AI Affiliation Data
Shelby Maryann Moderow is affiliated with 2 sites of care and 1 medical group
Shelby Moderow's primary practice is Neurobehavior Home Program in Salt Lake City, Utah. Shelby Moderow is also affiliated with University of Utah Hospital. The medical group on file is University of Utah College of Nursing Behavioral Health Services.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Shelby Maryann Moderow's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Shelby Moderow practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Neurobehavior Home Program | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Shelby Maryann Moderow is one of 308 physician assistants in Utah
Medical is Shelby Moderow's primary specialty in the NPI Registry, under taxonomy code 363AM0700X.
Specialties and state licenses
- Medical physician assistantPrimary
Physician assistants near Shelby Moderow
Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Shelby Maryann Moderow's patients have a median age of 38
Across all payers, Dmand AI patient panel data puts Shelby Moderow's median patient age at 38, with 30% women.
Shelby Moderow's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 38
Patient panel by sex, all payers
- Women30%
- Men70%
Source: Dmand AI Patient Panel Data
Shelby Maryann Moderow offers telehealth to Medicare patients
Shelby Moderow accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Shelby Moderow as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Shelby Maryann Moderow's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Shelby Maryann Moderow
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Shelby Maryann Moderow's NPI number?
Shelby Maryann Moderow's NPI number is 1366164535. It was assigned on September 14, 2022, and it is active in the NPI Registry.
What does Shelby Maryann Moderow specialize in?
Shelby Maryann Moderow is a physician assistant in Salt Lake City, Utah. The primary specialty in the NPI Registry is Medical Physician Assistant (taxonomy code 363AM0700X).
Where does Shelby Maryann Moderow practice?
Shelby Moderow practices at 650 S Komas Dr, Salt Lake City, UT 84108. Shelby Moderow's primary practice is Neurobehavior Home Program in Salt Lake City, Utah.
What is Shelby Maryann Moderow's office phone number?
The practice phone on file for Shelby Moderow is (801) 587-6336.
Which hospitals is Shelby Maryann Moderow affiliated with?
Shelby Moderow is affiliated with University of Utah Hospital.
What medical group is Shelby Maryann Moderow part of?
Shelby Moderow is linked to University of Utah College of Nursing Behavioral Health Services.
Does Shelby Maryann Moderow accept Medicare?
Yes. CMS lists Shelby Moderow as accepting Medicare assignment.
Does Shelby Maryann Moderow offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Shelby Moderow as offering telehealth services.
How long has Shelby Maryann Moderow been practicing?
Shelby Moderow graduated from medical school in 2022, 4 years ago.
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