CHARLES G PRIBBLE MD
NPI 1245349042
Pediatrics - Pediatric Critical Care Medicine in Salt Lake City, UT
NPI Status: Active since August 29, 2006
Contact Information
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 993-9551
Fax: (801) 733-5872
- Individual
- Male
- Pediatrics
- Pediatric Critical Care Medicine
- Accepts Insurance
- PECOS Enrolled
About CHARLES PRIBBLE
This page provides the complete NPI Profile along with additional information for Charles Pribble, a pediatrician established in Salt Lake City, Utah with a medical specialization in Pediatrics, focusing in pediatric critical care medicine . The healthcare provider is registered in the NPI registry with number 1245349042 assigned on August 2006. The practitioner's primary taxonomy code is 2080P0203X with license number 173715-1205 (UT). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1245349042
- Provider Name
- CHARLES G PRIBBLE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 N MEDICAL DR SALT LAKE CITY, UT 84113
- Location Phone
- (801) 993-9551
- Location Fax
- (801) 733-5872
- Mailing Address
- 100 N MEDICAL DR SALT LAKE CITY, UT 84113
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-29-2006
- Last Update Date
- 12-12-2024
- Code Navigator
A pediatrician like Charles Pribble is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics Pediatric Critical Care Medicine
- Taxonomy Code
- 2080P0203X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 173715-1205
- License State
- UT
- Taxonomy Description
- A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | 173715-1205 (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Med Benchmark Expanded Bronze Select Copay Plan - HMO
- Med Benchmark Expanded Bronze Standardized Plan - HMO
- Med Benchmark Gold Standardized Plan - HMO
- Med Benchmark Platinum - HMO
- Med Benchmark Platinum Standardized Plan - HMO
- Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
- Med Benchmark Silver Standardized Plan - HMO
- Med Gold 1500 Medical Deductible - HMO
- Signature Benchmark Gold - HMO
- Signature Benchmark Gold Standardized Plan - HMO
- Signature Benchmark Silver 5900 Medical Deductible - HMO
- Signature Benchmark Silver Standardized Plan - HMO
- Value Benchmark Expanded Bronze Select Copay Plan - HMO
- Value Benchmark Gold Standardized Plan - HMO
- Value Benchmark Platinum - HMO
- Value Benchmark Platinum Standardized Plan - HMO
- Value Benchmark Silver 5900 Medical Deductible - HMO
- Value Benchmark Silver Standardized Plan - HMO
- Value Expanded Bronze 6900 Medical Deductible - HMO
- Value Gold 1500 Medical Deductible - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 002085560 | OTHER (01) | UT | FIRST HEALTH |
| 174281 | OTHER (01) | UT | DESERET MUTUAL |
| 105131800 | MEDICAID (05) | WY | |
| 870280408PR2 | OTHER (01) | UT | EDUCATORS MUTUAL |
| 29927 | OTHER (01) | UT | PEHP |
| PR00809 | OTHER (01) | UT | MOLINA |
| QM0000049539 | OTHER (01) | UT | ALTIUS |
| 107006307101 | OTHER (01) | UT | IHC |
| 2000040 | OTHER (01) | UT | UNITED HEALTHCARE |
| 401765 | MEDICAID (05) | MT | |
| 002967300 | MEDICAID (05) | ID | |
| 8920 | OTHER (01) | UT | HEALTHY U |
Medicare Participation & PECOS Enrollment Status
Charles Pribble is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for CHARLES G PRIBBLE MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 3 | 4 | 9 | 0 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 6 | 4 | 18 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 6 + 4 + 1 + 8 + 0 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1245349042 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
PEDIATRIC GASTROENTEROLOGY DEPARTMENT OF UNIVERSITY OF UTAH
Pediatrics
(Pediatric Gastroenterology)
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
DR. WILLIAM M MCDONNELL
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
PEDIATRIC RAPID TREATMENT UNIT DEPARTMENT OF UNIVERSITY OF UTAH
Pediatrics
(Pediatric Emergency Medicine)
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
DEPARTMENT OF PEDIATRICS UNIVERSITY OF UTAH
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
PEDIATRIC HEMATOLOGY ONCOLOGY-DEPARTMENT OF UNIVERSITY OF UTAH
Pediatrics
(Pediatric Hematology-Oncology)
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
PEDIATRIC EMERGENCY MEDICINE DEPARTMENT OF UNIVERSITY OF UTAH
Pediatrics
(Pediatric Emergency Medicine)
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
UNIVERSITY OF UTAH GENERAL PEDIATRICS
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
PAULA J RASMUSSEN AUD
Audiologist
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
JULIEN T SMITH PHD
Clinical Neuropsychologist
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
LISA ENA BARNES PT
Physical Therapist
100 N MEDICAL DR
SLC, UT
ZIP 84113
AMBER S PERRY PT
Physical Therapist
100 N MEDICAL DR
SLC, UT
ZIP 84113
JASON RICHARD NORBY AUD
Audiologist
100 N MEDICAL DR
SLC, UT
ZIP 84113
SHELLEY NAKASONE MS, CCC-SLP
Speech-Language Pathologist
100 N MEDICAL DR
SLC, UT
ZIP 84113
NANCY A MURRAY AUD / SLP
Audiologist
100 N MEDICAL DR
SLC, UT
ZIP 84113
SUSAN JILL BECK TIBBITTS SLP
Speech-Language Pathologist
100 N MEDICAL DR
SLC, UT
ZIP 84113
PEDIATRIC ANESTHESIOLOGISTS INC
Anesthesiology
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
MARSHA HARDMAN-LUNDELL LCSW
Social Worker
(Clinical)
100 N MEDICAL DR
SLC, UT
ZIP 84113
LORI M FOX SLP
Speech-Language Pathologist
100 N MEDICAL DR
SLC, UT
ZIP 84113
BRIAN L THORN PHD
Psychologist
100 N MEDICAL DR
SLC, UT
ZIP 84113
MR. KEVIN MERLIN ORGILL RPH
Pharmacist
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245349042, enumerated as an "individual" on August 29, 2006.
The provider is located at 100 N MEDICAL DR SALT LAKE CITY, UT 84113 and the phone number is (801) 993-9551.
Pediatrics with taxonomy code 2080P0203X and a focus in Pediatric Critical Care Medicine.
The provider might be accepting Accepts: Molina Healthcare, Select Health, Medicare and. Please consult your insurance carrier or call the provider to verify.
