WASATCH VASCULAR CENTER LLC
NPI 1558905398
Radiology - Vascular & Interventional Radiology in Salt Lake City, UT

Q: What is Wasatch Vascular Center LLC's NPI number?

The NPI number for Wasatch Vascular Center LLC is 1558905398. It was assigned to this organization in the NPPES registry on November 5, 2019.

Q: What is Wasatch Vascular Center LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since November 05, 2019

3702 S STATE ST STE 103, SALT LAKE CITY, UT 84115(801) 281-0027(801) 262-1533 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 10, 2023, Sep 14, 2020, Aug 18, 2020 and 1 more (4 updates tracked since 2019).

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About Wasatch Vascular Center Llc NPPES

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

WASATCH VASCULAR CENTER LLC (NPI 1558905398) is a healthcare organization registered as a vascular & interventional radiology in Salt Lake City, Utah and active in the NPI registry since November 2019. The organization maintains 2 additional practice locations and lists Gregg Miller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1558905398

Entity TypeOrganization

Primary Taxonomy2085R0204X

Legal Business NameWASATCH VASCULAR CENTER LLC

Location Address3702 S STATE ST STE 103Salt Lake City, UT 84115-5096

Mailing Address40 Valley Stream Pkwy Ste 100Malvern, PA 19355-1407 · (610) 644-8900

Phone(801) 281-0027

Fax(801) 262-1533

Organization SubpartNo

Authorized OfficialGregg MillerAuthorized Official · (610) 644-8900

Enumeration DateNovember 5, 2019

Last NPPES UpdateFebruary 10, 20234 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2023

✔ NPI 1558905398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

3702 S STATE ST STE 103, Salt Lake City, UT 84115

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Secondary Practice Locations 2

Location 13702 S State St Ste 105Salt Lake City, UT 84115-5096 · Phone (801) 298-1300

Location 23702 S State St Ste 111Salt Lake City, UT 84115-5078 · Phone (801) 281-0027 · Fax (801) 262-1533

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wasatch Vascular Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Wasatch Vascular Center LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Omar Zuberi, D.O

Diagnostic Radiology

NPI 1992115844

3702 S STATE ST STE 103
South Salt Lake, UT 84115

(801) 281-0027

✔ PECOS✔ Accepts MedicareSame address

Rulon Hardman, MD

Diagnostic Radiology

NPI 1225219421

50 N MEDICAL DR
Salt Lake City, UT 84132

(801) 581-7553

✔ PECOS✔ Accepts Medicare6.1 mi

Shane Weber, D.O.

Diagnostic Radiology

NPI 1467865329

30 N 1900 E RM 1A07
Salt Lake City, UT 84132

(801) 581-7553

✔ PECOS✔ Accepts Medicare6.2 mi

Kevin Maxwell, M.D.

Diagnostic Radiology

NPI 1184044190

1200 E 3900 S
Salt Lake City, UT 84124

(801) 268-7111

✔ PECOS✔ Accepts Medicare7.5 mi

James Carlisle, MD

Interventional Radiology

NPI 1750478707

1433 N 1075 W STE 104
Farmington, UT 84025

(801) 298-1300

✔ PECOS✔ Accepts Medicare22 mi

Peter Hathaway, M.D.

Diagnostic Radiology

NPI 1730187824

1433 N 1075 W STE 104
Farmington, UT 84025

(801) 298-1300

✔ PECOS✔ Accepts Medicare22 mi

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 Wasatch Vascular Center LLC's NPI number?

The NPI number for Wasatch Vascular Center LLC is 1558905398. It was assigned to this organization in the NPPES registry on November 5, 2019.

Where is Wasatch Vascular Center LLC located?

Wasatch Vascular Center LLC is located at 3702 S State St Ste 103, Salt Lake City, UT 84115. The listed phone number is (801) 281-0027.

What is Wasatch Vascular Center LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Wasatch Vascular Center LLC enrolled in Medicare?

Yes. Wasatch Vascular Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wasatch Vascular Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Wasatch Vascular Center LLC. 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 Diagnostic Radiology (5) and Interventional Radiology (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wasatch Vascular Center LLC accept?

Health plans from University of Utah Health Plans list Wasatch Vascular Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wasatch Vascular Center LLC was last updated on February 10, 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.