DR. ADRIENE EASTAWAY (MD) – Diagnostic Radiology Physician, NPI 1164940821

DR. ADRIENE EASTAWAY (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 10994065-1205 (UT). The NPI Number for DR. ADRIENE EASTAWAY (MD) is 1164940821

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADRIENE EASTAWAY (MD)
NPI
1164940821
Phone
(801) 581-2121
Address
30 N 1900 E RM 1A071
Enumeration Date
1 September 2017
Last Update Date
2 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
4358821674
Graduation Year
2017 (9 years ago)
PAC ID
6305190125
Group Practice PAC ID
2466624630
Professional Enrollment ID
I20220711002985
Address ID
UT840743409TO2356X400X303

Contacts

Secure Messaging
AEASTAWAY293245@DIRECT.MED.UTAH.EDU
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

345 DIAGNOSTIC RADIOLOGY in UT

Provider Addresses for DR. ADRIENE EASTAWAY (MD)

  • 30 N 1900 E RM 1A071

    SALT LAKE CITY, UT 841320002

    Phone: (801) 581-2121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220711002985IDiagnostic RadiologyUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view415353$0
71046X-ray of chest, 2 views179173$0
77067Screening mammography173173$0
77063Screening 3d breast mammography167167$0
73030X-ray of shoulder, minimum of 2 views8480$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466624630View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyCO
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT

Reviews

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Frequently asked questions

How do payers reference DR. ADRIENE EASTAWAY (MD)?
For DR. ADRIENE EASTAWAY (MD), use NPI 1164940821 as the unique 10-digit identifier.
Is DR. ADRIENE EASTAWAY (MD) still an active registrant?
DR. ADRIENE EASTAWAY (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. ADRIENE EASTAWAY (MD)?
DR. ADRIENE EASTAWAY (MD) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ADRIENE EASTAWAY (MD)?
Directory geography for DR. ADRIENE EASTAWAY (MD) centers on Salt Lake City, Utah.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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