SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES
NPI 1528556776
Anesthesiology in Salt Lake City, UT

Q: What is Shriners Hospitals For Children's NPI number?

The NPI number for Shriners Hospitals For Children is 1528556776. It was assigned to this organization in the NPPES registry on April 24, 2018. The provider is also known as Shriners Hospitals For Children Professional Anesthesia Services.

Q: What is Shriners Hospitals For Children's specialty?

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

Active since April 24, 2018

1275 E FAIRFAX RD, SALT LAKE CITY, UT 84103(801) 536-3500(801) 536-3782 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2018, Apr 24, 2018 (2 updates tracked since 2018).

On this page

About Shriners Hospitals For Children Professional Anesthesia Services NPPES

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

SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL ANESTHESIA SERVICES (NPI 1528556776) is a healthcare organization registered as an anesthesiology in Salt Lake City, Utah and active in the NPI registry since April 2018. The organization lists Jerry G. Gantt, President, as its authorized official.

NPPES Registry Identity

NPI1528556776

Entity TypeOrganization

Primary Taxonomy207L00000X

Legal Business NameSHRINERS HOSPITALS FOR CHILDREN

Location Address1275 E FAIRFAX RDSalt Lake City, UT 84103

Mailing AddressPo Box 8500 Lockbox #7642Philadelphia, PA 19178-0001 · (813) 281-0300 · Fax (813) 281-8113

Phone(801) 536-3500

Fax(801) 536-3782

Organization SubpartNo

Authorized OfficialJerry G. GanttPresident · (813) 281-0300

Enumeration DateApril 24, 2018

Last NPPES UpdateMay 24, 20182 updates tracked since enumeration

✔ NPI 1528556776 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.

1275 E FAIRFAX RD, Salt Lake City, UT 84103

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Other Names 1

Other NameShriners Hospitals For Children Professional Anesthesia Services

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)

Shriners Hospitals For Children Professional Anesthesia Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 28 clinicians reassign Medicare billing to Shriners Hospitals For Children Professional Anesthesia Services, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Orthopedic Surgery10

Physical Therapist in Private Practice6

Pediatric Medicine3

Hand Surgery2

Occupational Therapist in Private Practice2

Physical Medicine and Rehabilitation2

Diagnostic Radiology1

Neurology1

1 other specialty1

Nearest to this location (20)

See all 28

Crystal Haakenson, DPT

Physical Therapist in Private Practice

NPI 1942597968

1275 E FAIRFAX RD
Salt Lake City, UT 84103

(801) 536-3614

Same address

Lisa Carter, P.T.

Physical Therapist in Private Practice

NPI 1396854113

1285 EAST FAIRFAX ROAD
Salt Lake City, UT 84103

(801) 536-3807

Same address

Kristen Carroll, M.D.

Orthopedic Surgery

NPI 1366407488

FAIRFAX ROAD AT VIRGINIA STREET SHRINERS HOSPITAL FOR CHILDREN
Salt Lake City, UT 84103

(801) 536-3600

✔ PECOS✔ Accepts MedicareSame address

Mark Lange, MPT

Physical Therapist in Private Practice

NPI 1558686428

FAIRFAX RD AT VIRGINIA ST
Slc, UT 84103

(801) 536-3616

Same address

Judith Gooch, MD

Physical Medicine and Rehabilitation

NPI 1437268588

100 N MEDICAL DR
Slc, UT 84113

(801) 588-2000

✔ PECOS✔ Accepts Medicare0.7 mi

Amber Perry, PT

Physical Therapist in Private Practice

NPI 1568479731

100 N MEDICAL DR
Slc, UT 84113

(801) 588-2000

0.7 mi

Michael Lloyd, M.D.

Pediatric Medicine

NPI 1497753354

100 N MEDICAL DR
Salt Lake City, UT 84113

(801) 587-7575

✔ PECOS0.7 mi

Russell Butterfield, MD/PHD

Neurology

NPI 1639352321

50 N MEDICAL DR
Salt Lake City, UT 84112

(801) 585-6387

✔ PECOS✔ Accepts Medicare0.7 mi

Audie Espinoza, M.D.

Pediatric Medicine

NPI 1912387598

100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113

(801) 587-7575

✔ PECOS0.8 mi

Michael Machen, M.D.

Orthopedic Surgery

NPI 1366418386

100 MARIO CAPECCHI DR # 4550
Salt Lake City, UT 84113

(801) 662-5600

✔ PECOS0.8 mi

Alan Stotts, MD

Orthopedic Surgery

NPI 1902859473

100 MARIO CAPECCHI DR
Slc, UT 84113

(801) 662-5600

✔ PECOS✔ Accepts Medicare0.8 mi

Scott Jerome, PT

Physical Therapist in Private Practice

NPI 1861571648

44 N MEDICAL DR
Salt Lake City, UT 84113

(801) 883-4646

0.8 mi

Dana Johns, M.D.

Plastic and Reconstructive Surgery

NPI 1851617815

UNIVERSITY OF UTAH HOSPITAL 50 N MEDICAL DR
Salt Lake City, UT 84132

(801) 581-6803

✔ PECOS✔ Accepts Medicare0.8 mi

William Winters, MD

Diagnostic Radiology

NPI 1720198716

100 NO MARIO CAPECCHI DR.
Salt Lake City, UT 84113

(801) 662-1900

✔ PECOS0.8 mi

Matt Lowell, MPT

Physical Therapist in Private Practice

NPI 1811022148

50 N MEDICAL DR UNIVERSITY HEALTHCARE BURN THERAPY
Salt Lake City, UT 84132

(801) 581-2132

0.9 mi

Lisa Samson-Fang, MD

Pediatric Medicine

NPI 1821188442

50 N MEDICAL DR
Salt Lake City, UT 84132

(801) 581-3501

✔ PECOS0.9 mi

Theresa Hennessey, M.D.

Orthopedic Surgery

NPI 1699826693

SHRINERS HOSPITALS FOR CHILDREN FAIRFAX ROAD AT VIRGINIA STREET
Salt Lake City, UT 84103

(801) 536-3600

✔ PECOS1.1 mi

Brittany Garcia, M.D.

Orthopedic Surgery

NPI 1407243512

590 S WAKARA WAY
Salt Lake City, UT 84108

(801) 587-5400

✔ PECOS✔ Accepts Medicare1.8 mi

Douglas Hutchinson, MD

Hand Surgery

NPI 1972557825

590 S WAKARA WAY
Salt Lake City, UT 84108

(801) 587-7109

✔ PECOS✔ Accepts Medicare1.8 mi

Angela Wang, MD

Hand Surgery

NPI 1922198514

590 WAKARA WAY
Salt Lake City, UT 84108

(801) 587-7100

✔ PECOS✔ Accepts Medicare1.8 mi

See all 28 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 Shriners Hospitals For Children's NPI number?

The NPI number for Shriners Hospitals For Children is 1528556776. It was assigned to this organization in the NPPES registry on April 24, 2018. The provider is also known as Shriners Hospitals For Children Professional Anesthesia Services.

Where is Shriners Hospitals For Children located?

Shriners Hospitals For Children is located at 1275 E Fairfax Rd, Salt Lake City, UT 84103. The listed phone number is (801) 536-3500.

What is Shriners Hospitals For Children's specialty?

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

Is Shriners Hospitals For Children enrolled in Medicare?

Yes. Shriners Hospitals For Children is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shriners Hospitals For Children?

According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 9 Medicare specialties reassign their Medicare billing to Shriners Hospitals For Children. 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 Orthopedic Surgery (10), Physical Therapist in Private Practice (6) and Pediatric Medicine (3). Of these, 4 practice at this address and 20 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 Shriners Hospitals For Children was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.