DR. ANILAWAN FLEURY MD
NPI 1073157376
Radiology - Pediatric Radiology in Salt Lake City, UT

Q: What is Anilawan Fleury's NPI number?

The NPI number for Anilawan Fleury is 1073157376. It was assigned to this individual provider in the NPPES registry on October 30, 2019.

Q: What is Anilawan Fleury's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Anilawan Fleury was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 30, 2019PECOS EnrolledAccepts Medicare Assignment

100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Mar 4, 2024, Jun 23, 2023 and 2 more (5 updates tracked since 2019).

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About Dr. Anilawan Fleury Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANILAWAN FLEURY MD (NPI 1073157376) is an individual pediatric radiology provider in Salt Lake City, Utah, licensed in Utah (13166410-1205) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073157376

Entity TypeIndividualFemale

Primary Taxonomy2085P0229X

Provider Legal NameDR. ANILAWAN FLEURYCredential: MD

Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103

Mailing Address100 N Mario Capecchi DrSalt Lake City, UT 84113-1103 · (301) 332-7000

Phone(801) 662-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateOctober 30, 2019

Last NPPES UpdateJuly 29, 20245 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1073157376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

Licenses✔ Licensed in UT · 13166410-1205✔ Licensed in PA · LT000844

Definition

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.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License LT000844 (PA)

Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License LT000844 (PA), 13166410-1205 (UT)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 13166410-1205 (UT)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 13166410-1205 (UT), LT000844 (PA)

100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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Secondary Practice Locations 2

Location 13401 Civic Center BlvdPhiladelphia, PA 19104-4319 · Phone (301) 332-7000

Location 23400 Spruce StPhiladelphia, PA 19104-4238 · Phone (215) 662-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anilawan Fleury Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507215480

PECOS Enrollment IDI20231218003147

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEEGAN MARIE RYAN PT, DPT

Physical Therapist