DR. BETHANY A. LUECK MD
NPI 1194380683
Radiology - Neuroradiology in Salt Lake City, UT

Q: What is Bethany Lueck's NPI number?

The NPI number for Bethany Lueck is 1194380683. It was assigned to this individual provider in the NPPES registry on May 9, 2019.

Q: What is Bethany Lueck's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Q: When was this NPI record last updated?

The NPPES record for Bethany Lueck was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 May 09, 2019PECOS Enrolled

30 N MARIO CAPECCHI RM 2S100, 400 W PUEBLO STREET, SALT LAKE CITY, UT 84112(801) 581-2121(805) 569-7317 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2025, May 4, 2021, Apr 27, 2021 and 1 more (4 updates tracked since 2019).

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About Dr. Bethany A. Lueck Md NPPES

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

DR. BETHANY A. LUECK MD (NPI 1194380683) is an individual neuroradiology provider in Salt Lake City, Utah, licensed in Utah (14206966-1205) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Barbara.

NPPES Registry Identity

NPI1194380683

Entity TypeIndividualFemale

Primary Taxonomy2085N0700X

Provider Legal NameDR. BETHANY A. LUECKCredential: MD

Location Address30 N MARIO CAPECCHI RM 2S100, 400 W PUEBLO STREETSalt Lake City, UT 84112

Mailing Address30 N Mario Capecchi Rm 2s100, 400 W Pueblo StreetSalt Lake City, UT 84112 · (801) 581-2121 · Fax (805) 569-7317

Phone(801) 581-2121

Fax(805) 569-7317

Sole ProprietorNo

Enumeration DateMay 9, 2019

Last NPPES UpdateMarch 11, 20254 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1194380683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0700X

License✔ Licensed in UT · 14206966-1205

Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Also ListedGeneral PracticeTaxonomy 208D00000X · License ME149484 (FL)

30 N MARIO CAPECCHI RM 2S100, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 1SBCH, Medical Education, 400 W Pueblo StreetSanta Barbara, CA 93105 · Phone (805) 569-7316 · Fax (805) 569-7317

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bethany A. Lueck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 11

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

SCOTT J. ADAIR MD

Radiology (Diagnostic Radiology)