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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Bethany Lueck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Penrad Imaging LLC
395 mi
Radiology
4925 N NEVADA AVE
Colorado Springs, CO 80918
  • Reassigned Medicare billing, Colorado enrollment
  • 30 clinicians in this Medicare group
NPI 1770105900 (719) 593-1799
Colorado Springs Radiologists PC
396 mi
Diagnostic Radiology
2222 N NEVADA AVE
Colorado Springs, CO 80907
  • Reassigned Medicare billing, Colorado enrollment
  • 27 clinicians in this Medicare group
NPI 1629168406 (719) 593-1799

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

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)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
THOMAS RILEY MD
Radiology (Vascular & Interventional Radiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7553
DR. DEREK WILLIAM GRADY M.D.
Radiology (Diagnostic Radiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
DR. JAY RILEY ARGUE MD
Radiology (Neuroradiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
KALEB TODD
Radiology (Neuroradiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7553
NADER ALAAELDIN REFAI
Radiology (Neuroradiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7553
DARYUSH VAREDI MD
Radiology (Neuroradiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121
DR. CALEB JOSEPH BUSCH M.D.
Radiology (Diagnostic Radiology)
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2121

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 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.

Where is Bethany Lueck located?

Bethany Lueck practices at 30 N Mario Capecchi Rm 2s100 400 W Pueblo Street, Salt Lake City, UT 84112. The listed phone number is (801) 581-2121.

What is Bethany Lueck's specialty?

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

Is Bethany Lueck enrolled in Medicare?

Yes. Bethany Lueck is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bethany Lueck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Lueck reassigns Medicare benefits to 2 organizations: Penrad Imaging LLC (Colorado Springs, CO) and Colorado Springs Radiologists PC (Colorado Springs, CO). Each 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 Bethany Lueck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 19 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.