MADISON MEMORIAL HOSPITAL - PED'S CARDIOLOGY
NPI 1346692605
Pediatrics - Pediatric Cardiology in Rexburg, ID
About Madison Memorial Hospital - Ped's Cardiology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADISON MEMORIAL HOSPITAL - PED'S CARDIOLOGY (NPI 1346692605) is a healthcare organization registered as a pediatric cardiology in Rexburg, Idaho and active in the NPI registry since July 2016. The organization lists Samuel Finlayson, Chief Clinical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madison Memorial Hospital - Ped's Cardiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Madison Memorial Hospital - Ped's Cardiology, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Salt Lake City, UT 84113
Salt Lake City, UT 84113
Philadelphia, PA 19104
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 1346692605. It was assigned to this organization in the NPPES registry on July 11, 2016. The provider is doing business as Madison Memorial Hospital - Ped's Cardiology.
Where is University Of Utah Pediatric Services located?
University Of Utah Pediatric Services is located at 450 E Main St, Rexburg, ID 83440. The listed phone number is (801) 213-3599.
What is University Of Utah Pediatric Services's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
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.
When was this NPI record last updated?
The NPPES record for University Of Utah Pediatric Services was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Madison Memorial Hospital - Ped's Cardiology · NPI 1346692605
Pediatric Cardiology organization in Rexburg, Idaho. Organization record, active in the CMS NPPES registry since July 11, 2016.
## Identity
- **NPI:** 1346692605 (Entity type: Organization)
- **Enumerated:** July 11, 2016
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **Legal business name:** University Of Utah Pediatric Services
- **Organization subpart:** Yes (part of University Of Utah Pediatric Services)
- **Authorized official:** Samuel Finlayson, CHIEF CLINICAL OFFICER
## Practice location
- **Address:** 450 E MAIN ST, Rexburg, ID 83440-2048
- **Phone:** (801) 213-3599
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (10), Orthopedic Surgery (1), Urology (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1346692605) · Data from the CMS NPPES public registry.