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PEDIATRIC ANESTHESIOLOGISTS INC
NPI 1417965799
Anesthesiology in Salt Lake City, UT

Active since August 03, 2006
100 N MEDICAL DR, SALT LAKE CITY, UT 84113(888) 249-4598(801) 432-2670 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pediatric Anesthesiologists Inc NPPES

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

PEDIATRIC ANESTHESIOLOGISTS INC (NPI 1417965799) is a healthcare organization registered as an anesthesiology in Salt Lake City, Utah and active in the NPI registry since August 2006. The organization lists W. Curtis Peterson, President, as its authorized official.

NPPES Registry Identity

NPI1417965799
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NamePEDIATRIC ANESTHESIOLOGISTS INC
Location Address100 N MEDICAL DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 3870Salt Lake City, UT 84110-3870 · (888) 249-4598 · Fax (801) 432-2670
Phone(888) 249-4598
Fax(801) 432-2670
Organization SubpartNo
Authorized OfficialW. Curtis PetersonPresident · (888) 249-4598
Enumeration DateAugust 3, 2006
Last NPPES UpdateSeptember 14, 2009
✔ NPI 1417965799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
100 N MEDICAL DR, Salt Lake City, UT 84113
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Other Identifiers 1

Medicare ID-Type Unspecified000055124UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Anesthesiologists Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Pediatric Anesthesiologists Inc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 48
Charles Pribble, MD
Anesthesiology
NPI 1245349042
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 993-9551
✔ PECOSSame address
Bernard Van Ginkel, MD
Anesthesiology
NPI 1063521193
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 588-3272
✔ PECOS✔ Accepts MedicareSame address
Kenneth Yauney, MD
Anesthesiology
NPI 1346351632
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 588-3272
✔ PECOSSame address
Michelle Bowlen, MD
Anesthesiology
NPI 1932267499
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 993-9551
✔ PECOS✔ Accepts MedicareSame address
Christine Chen, MD
Anesthesiology
NPI 1295840247
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 993-9551
✔ PECOSSame address
Daniel Evans, MD
Anesthesiology
NPI 1760599161
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 993-9551
✔ PECOSSame address
Tamiko Long, MD
Anesthesiology
NPI 1528175460
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 588-3272
✔ PECOSSame address
Christopher Miller, MD
Anesthesiology
NPI 1619084415
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 993-9551
✔ PECOSSame address
David Tanner, MD
Anesthesiology
NPI 1912016023
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 993-9551
✔ PECOS✔ Accepts MedicareSame address
David Bennett, MD
Anesthesiology
NPI 1477016061
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 727-2088
✔ PECOS0.1 mi
Eric Buell, MD
Anesthesiology
NPI 1235557257
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(617) 662-3577
✔ PECOS✔ Accepts Medicare0.1 mi
Jacob Christensen, MD
Anesthesiology
NPI 1285839183
100 N MARIO CAPECCHI DR DEPARTMENT OF ANESTHESIOLOGY AT PCH
Salt Lake City, UT 84113
(801) 662-3578
✔ PECOS0.1 mi
Marty Ericksen, MD
Anesthesiology
NPI 1952338808
100 N. MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 662-3578
✔ PECOS0.1 mi
Karen Freed, MD, MPH
Anesthesiology
NPI 1427475904
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 662-3578
✔ PECOS0.1 mi
Eric Holley, MD
Anesthesiology
NPI 1902848088
100 N MARIO CAPECCHI DR SUITE 230
Salt Lake City, UT 84113
(801) 662-3578
✔ PECOS0.1 mi
Nicole Jeffreys, MD
Anesthesiology
NPI 1003936451
100 MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 662-3578
✔ PECOS0.1 mi
Rachel Koll, M.D.
Anesthesiology
NPI 1740434224
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 662-3577
✔ PECOS0.1 mi
Paul Miska, D.O.
Anesthesiology
NPI 1720373400
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 662-3578
✔ PECOS✔ Accepts Medicare0.1 mi
Gregory Smith, M.D.
Anesthesiology
NPI 1215293097
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 662-1000
✔ PECOS0.1 mi
Shannon Tew, M.D.
Anesthesiology
NPI 1679717375
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 662-3578
✔ PECOS✔ Accepts Medicare0.1 mi
See all 48 clinicians

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 Pediatric Anesthesiologists Inc's NPI number?

The NPI number for Pediatric Anesthesiologists Inc is 1417965799. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Pediatric Anesthesiologists Inc located?

Pediatric Anesthesiologists Inc is located at 100 N Medical Dr, Salt Lake City, UT 84113. The listed phone number is (888) 249-4598.

What is Pediatric Anesthesiologists Inc's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Pediatric Anesthesiologists Inc enrolled in Medicare?

Yes. Pediatric Anesthesiologists Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pediatric Anesthesiologists Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians, all in Anesthesiology, reassign their Medicare billing to Pediatric Anesthesiologists Inc. 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. Of these, 9 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pediatric Anesthesiologists Inc was last updated on September 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.