UNIVERSITY OF UTAH PEDIATRIC SURGEONS – Pediatric Surgery Physician, NPI 1083623904

UNIVERSITY OF UTAH PEDIATRIC SURGEONS is a healthcare provider. based in Salt lake city, Utah. specializing in Pediatric Surgery Physician. The NPI Number for UNIVERSITY OF UTAH PEDIATRIC SURGEONS is 1083623904

Main info

Organization
Name
UNIVERSITY OF UTAH PEDIATRIC SURGEONS
NPI
1083623904
Phone
(801) 662-0250
Address
100 MARIO CAPECCHI DR
Authorized Official
JANELL I MADONNA DIRECTOR OF CONTRACTING AND PE
Enumeration Date
7 August 2006
Last Update Date
14 April 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for UNIVERSITY OF UTAH PEDIATRIC SURGEONS

  • Primary Children's Hospital, 100, Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    SUITE 2600

    SALT LAKE CITY, UT 841131103

    Phone: (801) 662-0250

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84113)

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Reviews

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Frequently asked questions

Can I use this page to confirm UNIVERSITY OF UTAH PEDIATRIC SURGEONS's NPI?
Yes. UNIVERSITY OF UTAH PEDIATRIC SURGEONS is listed with NPI 1083623904 in the public NPI dataset.
Is UNIVERSITY OF UTAH PEDIATRIC SURGEONS still practicing?
UNIVERSITY OF UTAH PEDIATRIC SURGEONS is currently listed as active in the public NPI registry.
What healthcare role does UNIVERSITY OF UTAH PEDIATRIC SURGEONS hold?
Scheduling teams often label UNIVERSITY OF UTAH PEDIATRIC SURGEONS under Pediatric Surgery Physician. Clinical services aligned with this taxonomy classification.
What area does UNIVERSITY OF UTAH PEDIATRIC SURGEONS serve?
UNIVERSITY OF UTAH PEDIATRIC SURGEONS's listing highlights Salt Lake City, Utah; more addresses can appear in NPPES.
Why does UNIVERSITY OF UTAH PEDIATRIC SURGEONS have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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