INTERMOUNTAIN PEDIATRIC IMAGING
NPI 1053664680
Radiology - Pediatric Radiology in Salt Lake City, UT
NPI Status: Active since October 19, 2012
Contact Information
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 442-3156
- Organization
- Radiology
- Pediatric Radiology
- Accepts Insurance
About INTERMOUNTAIN PEDIATRIC IMAGING
This page provides the complete NPI Profile along with additional information for Intermountain Pediatric Imaging, a provider established in Salt Lake City, Utah operating as a Radiology, focusing in pediatric radiology . The healthcare provider is registered in the NPI registry with number 1053664680 assigned on October 2012. The practitioner's primary taxonomy code is 2085P0229X with license number 4802012 (UT). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Intermountain Pediatric Imaging. The authorized official of this NPI record is Linda C Leckman Md (Ceo Intermountain Medical Group)
- NPI
- 1053664680
- Provider Legal Name
- IHC HEALTH SERVICES INC
- Other Organization Name
- INTERMOUNTAIN PEDIATRIC IMAGING
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 100 MARIO CAPECCHI DR SALT LAKE CITY, UT 84113
- Location Phone
- (801) 442-3156
- Mailing Address
- PO BOX 27128 SALT LAKE CITY, UT 84127
- Mailing Phone
- (801) 442-3156
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-19-2012
- Last Update Date
- 10-22-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Pediatric Radiology
- Taxonomy Code
- 2085P0229X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4802012
- License State
- UT
- Taxonomy Description
- A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Bronze 8000 - EPO
- Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 2000 - EPO
- Regence Standard Silver 6000 - EPO
- Silver 6500 - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000055456 | MEDICARE PIN (08) | UT |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053664680, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053664680, enumerated as an "organization" on October 19, 2012.
The provider is located at 100 MARIO CAPECCHI DR SALT LAKE CITY, UT 84113 and the phone number is (801) 442-3156.
Radiology with taxonomy code 2085P0229X and a focus in Pediatric Radiology.
The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.
