PEDIATRIC UROLOGY ASSOCIATES - IDAHO
NPI 1235675364
Urology - Pediatric Urology in Idaho Falls, ID
NPI Status: Active since January 12, 2017
Contact Information
2985 CORTEZ AVE
IDAHO FALLS, ID
ZIP 83404
Phone: (801) 662-5555
- Organization
- Urology
- Pediatric Urology
- Accepts Insurance
- CLIA Number: 13D0520814
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-10-2025
About PEDIATRIC UROLOGY ASSOCIATES - IDAHO
This page provides the complete NPI Profile along with additional information for Pediatric Urology Associates - Idaho, a provider established in Idaho Falls, Idaho operating as a Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1235675364 assigned on January 2017. The practitioner's primary taxonomy code is 2088P0231X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Pediatric Urology Associates - Idaho operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pediatric Urology Associates - Idaho. The authorized official of this NPI record is Dr. Samuel Finlayson Md (Chief Clinical Officer)
- NPI
- 1235675364
- Provider Legal Name
- UNIVERSITY OF UTAH PEDIATRIC SERVICES
- Other Organization Name
- PEDIATRIC UROLOGY ASSOCIATES - IDAHO
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2985 CORTEZ AVE IDAHO FALLS, ID 83404
- Location Phone
- (801) 662-5555
- Mailing Address
- PO BOX 841450 LOS ANGELES, CA 90084
- Mailing Phone
- (801) 213-3900
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-12-2017
- Last Update Date
- 04-13-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology Pediatric Urology
- Taxonomy Code
- 2088P0231X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
- U Health Plus Bronze - EPO
- U Health Plus Expanded Bronze Standard - EPO
- U Health Plus Gold - EPO
- U Health Plus Gold Standard - EPO
- U Health Plus Silver - EPO
- U Health Plus Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0520814
- Facility Type
- Physician Office
- Certificate Effective Date
- November 11, 2023
- Certificate Expiration Date
- November 10, 2025
- Laboratory Director
- BRAD R. EDWARDS
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Urology Associates - Idaho after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1235675364, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235675364, enumerated as an "organization" on January 12, 2017.
The provider is located at 2985 CORTEZ AVE IDAHO FALLS, ID 83404 and the phone number is (801) 662-5555.
Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.
The provider might be accepting Accepts: Molina Healthcare and University of Utah Health. Please consult your insurance carrier or call the provider to verify.
