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DR. VENUGOPAL AMULA
NPI 1528268448
Pediatrics - Pediatric Critical Care Medicine in Slc, UT

Active since July 19, 2007PECOS Enrolled
100 N MARIO CAPECCHI DR, SLC, UT 84113(806) 622-2550 Get Directions Write a Review

NPPES record last updated: June 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2023, Apr 25, 2022 (2 updates tracked since 2022).

About Dr. Venugopal Amula NPPES

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

DR. VENUGOPAL AMULA (NPI 1528268448) is an individual pediatric critical care medicine provider in Slc, Utah, licensed in Utah (7391530-1205) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1528268448
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. VENUGOPAL AMULA
Location Address100 N MARIO CAPECCHI DRSlc, UT 84113-1103
Mailing Address100 N Mario Capecchi DrSlc, UT 84113-1103 · (801) 662-2550 · Fax (801) 662-2470
Phone(806) 622-2550
Sole ProprietorNo
Enumeration DateJuly 19, 2007
Last NPPES UpdateJune 5, 20232 updates tracked since enumeration
NPPES CertifiedJune 5, 2023
✔ NPI 1528268448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in UT · 7391530-1205
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License 4301089982 (MI)
100 N MARIO CAPECCHI DR, Slc, UT 84113
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Secondary Practice Location 1

Location 13601 W. 13 MILE ROADROYAL OAK, MI 48073 · Phone (248) 423-2410 · Fax (248) 423-2257

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Venugopal Amula is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Venugopal Amula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Pediatric Acuity Care
Same address
Pediatric Emergency Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 202 clinicians in this Medicare group
NPI 1538523675 (801) 587-6336

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Venugopal Amula's NPI number?

The NPI number for Venugopal Amula is 1528268448. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Venugopal Amula located?

Venugopal Amula practices at 100 N Mario Capecchi Dr, Slc, UT 84113. The listed phone number is (806) 622-2550.

What is Venugopal Amula's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Venugopal Amula enrolled in Medicare?

Yes. Venugopal Amula is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Venugopal Amula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Venugopal Amula reassigns Medicare benefits to University Of Utah Pediatric Acuity Care (Salt Lake City, UT). The 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 Venugopal Amula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Venugopal Amula was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.