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PORTNEUF REGIONAL MEDICAL CENTER-NEPHROLOGY
NPI 1588041131
Internal Medicine - Nephrology in Pocatello, ID

Active since May 04, 2015
777 HOSPITAL WAY, POCATELLO, ID 83201(801) 581-2121 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2021, May 20, 2020, Dec 14, 2019 (3 updates tracked since 2019).

About Portneuf Regional Medical Center-nephrology NPPES

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

PORTNEUF REGIONAL MEDICAL CENTER-NEPHROLOGY (NPI 1588041131) is a healthcare organization registered as a nephrology in Pocatello, Idaho and active in the NPI registry since May 2015. The organization lists Samuel Finlayson, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1588041131
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameUNIVERSITY OF UTAH ADULT SERVICES
Location Address777 HOSPITAL WAYPocatello, ID 83201-5175
Mailing AddressPo Box 841450Los Angeles, CA 90084-1450
Phone(801) 581-2121
Organization SubpartYes
Authorized OfficialSamuel FinlaysonChief Clinical Officer · (801) 587-6336
Enumeration DateMay 4, 2015
Last NPPES UpdateJanuary 22, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1588041131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
777 HOSPITAL WAY, Pocatello, ID 83201
Open in Google Maps ↗

Other Names 1

Doing Business AsPortneuf Regional Medical Center-nephrology

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portneuf Regional Medical Center-nephrology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Portneuf Regional Medical Center-Nephrology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 9

Nephrology6
Cardiovascular Disease (Cardiology)2
Internal Medicine2
Urology2
Cardiac Electrophysiology1
Critical Care (Intensivists)1
Diagnostic Radiology1
Pediatric Medicine1
1 other specialty1

Clinicians, nearest first (17)

Nicholas Pierson, MD
Diagnostic Radiology
NPI 1336309756
777 HOSPITAL WAY
Pocatello, ID 83201
(208) 239-1000
✔ PECOS✔ Accepts MedicareSame address
Roger Freedman, MD
Cardiac Electrophysiology
NPI 1790866580
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 588-2000
✔ PECOS✔ Accepts Medicare148 mi
Juan Gallegos Orozco, M.D.
Internal Medicine
NPI 1619909314
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-7802
✔ PECOS✔ Accepts Medicare148 mi
Rebecca Kim, M.D.
Internal Medicine
NPI 1164840054
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-2121
✔ PECOS✔ Accepts Medicare148 mi
Matthew Morrell
Critical Care (Intensivists)
NPI 1780703314
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-2121
✔ PECOS✔ Accepts Medicare148 mi
Fuad Shihab, MD
Nephrology
NPI 1700976321
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-6709
✔ PECOS✔ Accepts Medicare148 mi
Josef Stehlik, MD
Cardiovascular Disease (Cardiology)
NPI 1558458992
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-7715
✔ PECOS✔ Accepts Medicare148 mi
Kevin Whitehead, MD
Cardiovascular Disease (Cardiology)
NPI 1255421848
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 585-7676
✔ PECOS✔ Accepts Medicare148 mi
Daniel Cox, DO
Pediatric Medicine
NPI 1629277348
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 662-5400
✔ PECOS✔ Accepts Medicare148 mi
Kelli Gross, M.D.
Urology
NPI 1154731685
5126 W DAYBREAK PKWY
South Jordan, UT 84009
(801) 213-4500
✔ PECOS✔ Accepts Medicare162 mi
Javier Jaramillo Morales, M.D.
Nephrology
NPI 1245692813
5610 W GAGE ST STE A
Boise, ID 83706
(208) 501-8955
✔ PECOS✔ Accepts Medicare200 mi
James Hotaling, MD
Urology
NPI 1235249509
1959 NE PACIFIC ST C212, BOX 356340
Seattle, WA 98195
(206) 543-0065
✔ PECOS✔ Accepts Medicare584 mi
Bruce Horowitz
Nephrology
NPI 1447212758
1 UNIVERSITY OF NEW MEXICO MSC 10-5550
Albuquerque, NM 87131
(505) 272-4750
✔ PECOS✔ Accepts Medicare622 mi
Divya Raghavan, M.D.
Nephrology
NPI 1972852333
611 W PARK ST CARLE FORUM, LL
Urbana, IL 61801
(217) 383-3110
✔ PECOS✔ Accepts Medicare1,265 mi
Miklos Molnar, M.D.
Nephrology
NPI 1104299304
601 ELMWOOD AVE
Rochester, NY 14642
(585) 273-3881
✔ PECOS✔ Accepts Medicare1,750 mi
Andrew Courtwright, MD, PHD
Pulmonary Disease
NPI 1376770818
3400 CIVIC CENTER BLVD FL 1
Philadelphia, PA 19104
(215) 662-3202
✔ PECOS✔ Accepts Medicare1,929 mi
Silviana Marineci, MD
Nephrology
NPI 1194003525
111 COLCHESTER AVE
Burlington, VT 05401
(802) 847-0000
✔ PECOS✔ Accepts Medicare1,950 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 University Of Utah Adult Services's NPI number?

The NPI number for University Of Utah Adult Services is 1588041131. It was assigned to this organization in the NPPES registry on May 4, 2015. The provider is doing business as Portneuf Regional Medical Center-Nephrology.

Where is University Of Utah Adult Services located?

University Of Utah Adult Services is located at 777 Hospital Way, Pocatello, ID 83201. The listed phone number is (801) 581-2121.

What is University Of Utah Adult Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is University Of Utah Adult Services enrolled in Medicare?

Yes. University Of Utah Adult Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Utah Adult Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 9 Medicare specialties reassign their Medicare billing to University Of Utah Adult Services. 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 Nephrology (6), Cardiovascular Disease (Cardiology) (2) and Internal Medicine (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for University Of Utah Adult Services was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.