PEDIATRIC UROLOGY ASSOCIATES - IDAHO
NPI 1235675364
Urology - Pediatric Urology in Idaho Falls, ID

Q: What is University Of Utah Pediatric Services's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Active since January 12, 2017

2985 CORTEZ AVE, IDAHO FALLS, ID 83404(801) 662-5555 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2022, Jan 22, 2021, May 21, 2020 and 2 more (5 updates tracked since 2017).

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About Pediatric Urology Associates - Idaho NPPES

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

PEDIATRIC UROLOGY ASSOCIATES - IDAHO (NPI 1235675364) is a healthcare organization registered as a pediatric urology in Idaho Falls, Idaho and active in the NPI registry since January 2017. The organization lists Samuel Finlayson, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1235675364

Entity TypeOrganization

Primary Taxonomy2088P0231X

Legal Business NameUNIVERSITY OF UTAH PEDIATRIC SERVICES

Location Address2985 CORTEZ AVEIdaho Falls, ID 83404-7554

Mailing AddressPo Box 841450Los Angeles, CA 90084-1450 · (801) 213-3900

Phone(801) 662-5555

Organization SubpartYes

Authorized OfficialSamuel FinlaysonChief Clinical Officer · (801) 587-6336

Enumeration DateJanuary 12, 2017

Last NPPES UpdateApril 13, 20225 updates tracked since enumeration

NPPES CertifiedApril 13, 2022

✔ NPI 1235675364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Definition

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).

2985 CORTEZ AVE, Idaho Falls, ID 83404

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Other Names 1

Doing Business AsPediatric Urology Associates - Idaho

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 Molina Healthcare, University of Utah Health Plans.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)

Pediatric Urology Associates - Idaho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 12 clinicians reassign Medicare billing to Pediatric Urology Associates - Idaho, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Pediatric Medicine10

Orthopedic Surgery1

Urology1

Clinicians, nearest first (12)

Patrick Cartwright, MD

Urology

NPI 1467542050

100 N MEDICAL DR 2200
Salt Lake City, UT 84113

(801) 588-3300

✔ PECOS186 mi

Daniel Cox, DO

Pediatric Medicine

NPI 1629277348

100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113

(801) 662-5400

✔ PECOS✔ Accepts Medicare186 mi

Deborah Jacobson, MD

Pediatric Medicine

NPI 1205126257

100 N MARIO CAPECCHI DR STE 3550
Salt Lake City, UT 84113

(801) 662-5555

✔ PECOS✔ Accepts Medicare186 mi

Gary Nelson, M.D.

Pediatric Medicine

NPI 1841515517

100 MARIO CAPECCHI DR
Salt Lake City, UT 84113

(801) 662-1000

✔ PECOS✔ Accepts Medicare186 mi

Thomas Pilcher, M.D.

Pediatric Medicine

NPI 1437247582

100 MARIO CAPECCHI DR
Salt Lake City, UT 84113

(801) 662-5400

✔ PECOS✔ Accepts Medicare186 mi

Anthony Schaeffer, M.D.

Pediatric Medicine

NPI 1700939402

100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113

(801) 662-1000

✔ PECOS186 mi

Matthew Sweney, M.D.

Pediatric Medicine

NPI 1568581551

100 MARIO CAPECCHI DR DIVISION OF PEDIATRIC NEUROLOGY, 3RD FLOOR PCMC
Salt Lake City, UT 84113

(801) 662-5691

✔ PECOS✔ Accepts Medicare186 mi

Michael Wallis, M.D.

Pediatric Medicine

NPI 1558384388

100 MARIO CAPECCHI DR
Salt Lake City, UT 84113

(801) 662-5555

✔ PECOS✔ Accepts Medicare186 mi

Richard Williams

Pediatric Medicine

NPI 1578642047

81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113

(801) 662-1000

✔ PECOS✔ Accepts Medicare186 mi

Glen Lau, MD

Pediatric Medicine

NPI 1982994042

30 N 1900 E #1C412
Salt Lake City, UT 84132

(901) 232-1073

✔ PECOS✔ Accepts Medicare187 mi

Hani Siddeek

Pediatric Medicine

NPI 1205255627

2450 RIVERSIDE AVE
Minneapolis, MN 55454

(612) 672-6000

✔ PECOS935 mi

Christopher Makarewich, MD

Orthopedic Surgery

NPI 1215279328

3401 CIVIC CENTER BLVD DIVISION OF ORTHOPAEDIC SURGERY
Philadelphia, PA 19104

(215) 590-3131

✔ PECOS1,903 mi

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

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 Pediatric Services's NPI number?

The NPI number for University Of Utah Pediatric Services is 1235675364. It was assigned to this organization in the NPPES registry on January 12, 2017. The provider is doing business as Pediatric Urology Associates - Idaho.

Where is University Of Utah Pediatric Services located?

University Of Utah Pediatric Services is located at 2985 Cortez Ave, Idaho Falls, ID 83404. The listed phone number is (801) 662-5555.

What is University Of Utah Pediatric Services's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is University Of Utah Pediatric Services enrolled in Medicare?

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

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

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to University Of Utah Pediatric 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 Pediatric Medicine (10), Orthopedic Surgery (1) and Urology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does University Of Utah Pediatric Services accept?

Health plans from Molina Healthcare and University of Utah Health Plans list University Of Utah Pediatric 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 Pediatric Services was last updated on April 13, 2022. 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.