NPI registry status
Active
2026 NPPES data Pediatric Nephrology Physician NPI 1972682540
Verify on CMS → Raoul Nelson
Pediatric Nephrology Physician in Salt Lake City, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 753 in Pediatric Nephrology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Industry payments
$211.48
2 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Raoul Nelson is a Pediatric Nephrology Physician in Salt Lake City, Utah, listed in the federal CMS National Provider Identifier registry.
- Likely
- board-certified (heuristic)
- #262
- Pediatric Nephrology Physician rank among Utah specialties
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Raoul Nelson
Federal registry listing with board-eligibility signals — verify credentials with the state medical board before clinical decisions.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1972682540), first enumerated 11/03/2006.
Source: CMS NPPES
- Not in federal data
Medicare Part D participation
No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$211.48 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1972682540 · Pediatric Nephrology Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-NONE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1972682540
- ENUM-LEGACY 2006
- TAX-NARROW 753
- RX-NONE No Part D
- BOOK-THIN 7 in Utah
- PHOTO-ENUM Kevin McBryde, MD · 2006
✓
Board certification likely (heuristic, not verified)
Raoul Nelson practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Raoul Nelson?
Quality data not reportedPrimary specialty
Pediatric Nephrology Physician
Specialty distribution in Utah
How Pediatric Nephrology Physician compares to other specialties among Utah providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Nephrology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1972682540 |
|---|---|
| Specialty | Pediatric Nephrology Physician |
| Gender | Male |
| NPI Issued | 11/03/2006 |
Hospital and facility affiliations
Facilities where Raoul Nelson bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
University OF Utah Pediatric Services
Salt Lake City, UT
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Raoul Nelson. Source: openpaymentsdata.cms.gov.
Total received
$211
Largest payer
Novartis Pharmaceuticals Corporation
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Pediatric Nephrology Physician Overview
How Raoul Nelson fits within the Pediatric Nephrology Physician landscape nationally.
753
Pediatric Nephrology Physician Providers in US
50
States with Pediatric Nephrology Physician
91
Avg Claims per Provider
Nationwide Pediatric Nephrology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Nelson, both outside Utah so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatric Nephrology Physician Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Nelson.
One of 7 Pediatric Nephrology Physician providers enrolled in Utah, 5 are shown here.
Dr. Matthew Grinsell
M.D., PH.D.
Salt Lake City, UT
Dr. David Hooper
M.D., M.S.
Salt Lake City, UT
Dr. Francis Lomanta
DO
Salt Lake City, UT
Dr. Jessica Parsons
MD
Salt Lake City, UT
Dr. Meredith Seamon
M.D.
Salt Lake City, UT
Compare Pediatric Nephrology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Raoul Nelson's specialty? ▼
Raoul Nelson specializes in Pediatric Nephrology Physician and practices in Salt Lake City, Utah.
Where is Raoul Nelson located? ▼
Raoul Nelson is located at 100 MARIO CAPECCHI DR, Salt Lake City, UT, 84113. Phone: (801) 587-7575.
What is Raoul Nelson's NPI number? ▼
Raoul Nelson's National Provider Identifier (NPI) is 1972682540, issued on 11/03/2006.
How many Pediatric Nephrology Physician providers are there in the US? ▼
There are 753 Pediatric Nephrology Physician providers across 50 states in the US. The average Pediatric Nephrology Physician provider writes 91 Medicare Part D claims per year.
Does Raoul Nelson accept Medicare? ▼
Raoul Nelson appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raoul Nelson's credentials? ▼
Raoul Nelson's NPI is 1972682540. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.