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STAR VALLEY MEDICAL CENTER-CARDIOLOGY EP
NPI 1083091623
Internal Medicine - Clinical Cardiac Electrophysiology in Afton, WY

Active since May 04, 2015CLIA 53D0666137 · Certificate of Compliance

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 22, 2021, May 20, 2020, Dec 14, 2019 (3 updates tracked since 2019).

About Star Valley Medical Center-cardiology Ep NPPES

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

STAR VALLEY MEDICAL CENTER-CARDIOLOGY EP (NPI 1083091623) is a healthcare organization registered as a clinical cardiac electrophysiology in Afton, Wyoming and active in the NPI registry since May 2015. The organization holds a CLIA Certificate of Compliance certificate valid through May 6, 2027 and lists Samuel Finlayson, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1083091623
Entity TypeOrganization
Primary Taxonomy207RC0001X
Legal Business NameUNIVERSITY OF UTAH ADULT SERVICES
Location Address901 ADAMS STAfton, WY 83110-9621
Mailing AddressPo Box 841450Los Angeles, CA 90084-1450 · (801) 213-3900
Phone(801) 581-2121
Organization SubpartYes
Authorized OfficialSamuel FinlaysonChief Clinical Officer · (801) 587-6336
Enumeration DateMay 4, 2015
Last NPPES UpdateJanuary 22, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1083091623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
901 ADAMS ST, Afton, WY 83110
Open in Google Maps ↗

Other Names 1

Doing Business AsStar Valley Medical Center-cardiology Ep

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Star Valley Medical Center-cardiology Ep is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

91

Medicare enrollment records show 91 clinicians reassign Medicare billing to Star Valley Medical Center-Cardiology Ep, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Emergency Medicine64
Cardiovascular Disease (Cardiology)7
Nurse Practitioner6
Vascular Surgery4
Cardiac Electrophysiology3
Nephrology3
Internal Medicine2
Family Practice1
1 other specialty1

Nearest to this location (20)

See all 91
Anna Catino, M.D.
Cardiovascular Disease (Cardiology)
NPI 1427282318
555 E BROADWAY AVE STE 229
Jackson, WY 83001
(307) 739-7690
✔ PECOS✔ Accepts Medicare53 mi
Holbrook Stoecklein
Emergency Medicine
NPI 1780927541
625 E BROADWAY AVE
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts Medicare53 mi
Trevor Smith, MD
Nephrology
NPI 1700143930
630 E 1400 N STE 150
Logan, UT 84341
(435) 932-2038
✔ PECOS✔ Accepts Medicare80 mi
Ragnvaldr Bjornsson, MD
Family Practice
NPI 1851379119
1200 COLLEGE DR
Rock Springs, WY 82901
(307) 362-3711
✔ PECOS✔ Accepts Medicare117 mi
Jonathan Roddy, MD
Emergency Medicine
NPI 1033271366
1200 COLLEGE DR
Rock Springs, WY 82901
(307) 352-8350
✔ PECOS✔ Accepts Medicare117 mi
Sarah Diamond
Nurse Practitioner
NPI 1992373948
3684 CUSTER AVE
South Ogden, UT 84403
(801) 644-1779
✔ PECOS✔ Accepts Medicare117 mi
Wesley Pedicini, MD
Emergency Medicine
NPI 1548792187
30 N 1900 E RM 1C026
Salt Lake City, UT 84132
(801) 581-2121
✔ PECOS✔ Accepts Medicare142 mi
Roger Freedman, MD
Cardiovascular Disease (Cardiology)
NPI 1790866580
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 588-2000
✔ PECOS✔ Accepts Medicare142 mi
Benjamin Brooke, M.D., PH.D.
Vascular Surgery
NPI 1982754107
30 N 1900 E
Salt Lake City, UT 84132
(801) 581-8301
✔ PECOS✔ Accepts Medicare142 mi
Terri Hancock, DNP, ACNP-BC
Nurse Practitioner
NPI 1245510536
30 N 1900 E 4A100
Salt Lake City, UT 84132
(801) 585-7707
✔ PECOS✔ Accepts Medicare142 mi
Neil Krulewitz, D.O.
Emergency Medicine
NPI 1083148837
30 N 1900 E 1C026 DEPARTMENT OF EMERGENCY MEDICINE
Salt Lake City, UT 84123
(801) 581-2730
✔ PECOS✔ Accepts Medicare142 mi
Anwar Tandar, MD
Cardiovascular Disease (Cardiology)
NPI 1154538148
30 N 1900 E UNIVERSITY OF UTAH HOSPITAL
Salt Lake City, UT 84132
(801) 585-3362
✔ PECOS✔ Accepts Medicare142 mi
Mark Sarfati, MD
Vascular Surgery
NPI 1467542084
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-8301
✔ PECOS✔ Accepts Medicare142 mi
Frederick Welt, MD
Cardiac Electrophysiology
NPI 1841286531
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 585-0434
✔ PECOS✔ Accepts Medicare142 mi
Kevin Whitehead, MD
Internal Medicine
NPI 1255421848
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 585-7676
✔ PECOS✔ Accepts Medicare142 mi
Brigham Smith, M.D.
Interventional Cardiology
NPI 1558557322
5126 W DAYBREAK PKWY
South Jordan, UT 84009
(801) 213-4500
✔ PECOS✔ Accepts Medicare160 mi
Leenhapong Navaravong, M.D.
Cardiac Electrophysiology
NPI 1396937363
395 W COUGAR BLVD
Provo, UT 84604
(435) 357-4600
✔ PECOS✔ Accepts Medicare174 mi
Larry Green, MD
Internal Medicine
NPI 1982635843
820 N CHELAN AVE
Wenatchee, WA 98801
(509) 663-8711
✔ PECOS563 mi
Bruce Horowitz
Nephrology
NPI 1447212758
1 UNIVERSITY OF NEW MEXICO MSC 10-5550
Albuquerque, NM 87131
(505) 272-4750
✔ PECOS✔ Accepts Medicare577 mi
Kishore Patcha, M.D.
Nephrology
NPI 1710242946
301 UNIVERSITY BLVD 4.174 JOHN SEALY ANNEX
Galveston, TX 77555
(409) 772-7399
✔ PECOS✔ Accepts Medicare1,289 mi
See all 91 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 53D0666137

Star Valley Medical Center · Afton, WY
Active · expires May 6, 2027
CLIA Number53D0666137
Laboratory TypeHospital
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorMatt Tannenbaum
Laboratory Phone(307) 885-5828
Laboratory LocationStar Valley Medical Center901 Adams Street, Afton, WY 83110
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Utah Adult Services's NPI number?

The NPI number for University Of Utah Adult Services is 1083091623. It was assigned to this organization in the NPPES registry on May 4, 2015. The provider is doing business as Star Valley Medical Center-Cardiology Ep.

Where is University Of Utah Adult Services located?

University Of Utah Adult Services is located at 901 Adams St, Afton, WY 83110. The listed phone number is (801) 581-2121.

What is University Of Utah Adult Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is University Of Utah Adult Services enrolled in Medicare?

Yes. University Of Utah Adult Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Utah Adult Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 91 clinicians in 9 Medicare specialties reassign their Medicare billing to University Of Utah Adult Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (64), Cardiovascular Disease (Cardiology) (7) and Nurse Practitioner (6). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does University Of Utah Adult Services hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 53D0666137) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Of Utah Adult Services accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list University Of Utah Adult Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Utah Adult Services was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.