SRS-PAYSON, LLC
NPI 1548835879
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Payson, UT

NPI Status: Active since May 20, 2021

Contact Information

15 S 1000 E
PAYSON, UT
ZIP 84651
Phone: (888) 883-6407
Fax: (855) 631-0206

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • Accepts Insurance
  • CLIA Number: 46D1089029
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 09-08-2026

About SRS-PAYSON, LLC

This page provides the complete NPI Profile along with additional information for Srs-payson, Llc, a provider established in Payson, Utah operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1548835879 assigned on May 2021. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jerome Tannenbaum Md (Ceo And Chairman Of The Board)

NPI
1548835879
Provider Name
SRS-PAYSON, LLC
Entity Type
Organization
Location Address
15 S 1000 E PAYSON, UT 84651
Location Phone
(888) 883-6407
Location Fax
(855) 631-0206
Mailing Address
PO BOX 198813 NASHVILLE, TN 37219
Mailing Phone
(615) 988-1060
Mailing Fax
(855) 631-0206
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2021
Last Update Date
05-21-2021
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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

Clinic/Center End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEROME TANNENBAUM MD

Authorized Official Title
CEO AND CHAIRMAN OF THE BOARD
Authorized Official Phone
(615) 467-0140

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D1089029
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 09, 2024
Certificate Expiration Date
September 08, 2026
Laboratory Director
IREL S. EPPICH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Srs-payson, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548835879, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 1 + 6 + 3 + 1 + 0 + 8 + 1 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1548835879.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pediatrics
15 S 1000 E, SUITE 200
PAYSON, UT 84651
Pediatrics
15 S 1000 E, SUITE 200
PAYSON, UT 84651
Family Medicine
15 S 1000 E, SUITE 300
PAYSON, UT 84651
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
15 S 1000 E, #50
PAYSON, UT 84651
Neurological Surgery
15 S 1000 E, SUITE 225
PAYSON, UT 84651
Neurological Surgery
15 S 1000 E, SUITE 225
PAYSON, UT 84651
Urology
15 S 1000 E, SUITE 225
PAYSON, UT 84651

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548835879, enumerated as an "organization" on May 20, 2021.

The provider is located at 15 S 1000 E PAYSON, UT 84651 and the phone number is (888) 883-6407.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.