DANA BOUCEK
NPI 1154612117
Pediatrics - Pediatric Cardiology in Salt Lake City, UT
About Dana Boucek NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA BOUCEK (NPI 1154612117) is an individual pediatric cardiology provider in Salt Lake City, Utah, licensed in Pennsylvania (MD460722) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Phildelphia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Dana Boucek 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTFrequently 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 Dana Boucek's NPI number?
The NPI number for Dana Boucek is 1154612117. It was assigned to this individual provider in the NPPES registry on April 26, 2011.
Where is Dana Boucek located?
Dana Boucek practices at 100 North Mario Capecchi Dr. Primary Children's, Salt Lake City, UT 84113. The listed phone number is (801) 662-5700.
What is Dana Boucek's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Dana Boucek enrolled in Medicare?
Yes. Dana Boucek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Dana Boucek accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Dana Boucek 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.
Is Dana Boucek affiliated with any hospitals?
According to CMS data, Dana Boucek is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Dana Boucek was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dana Boucek · NPI 1154612117
Pediatric Cardiology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 26, 2011.
## Identity
- **NPI:** 1154612117 (Entity type: Individual)
- **Enumerated:** April 26, 2011
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** MD460722 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 NORTH MARIO CAPECCHI DR., PRIMARY CHILDREN'S, Salt Lake City, UT 84113
- **Phone:** (801) 662-5700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 2011
## Record status
- **NPPES last updated:** October 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154612117) · Data from the CMS NPPES public registry.