DR. MIRIAM PECKHAM M.D.
NPI 1598056848
Radiology - Diagnostic Radiology in Salt Lake City, UT

Q: What is Miriam Peckham's NPI number?

The NPI number for Miriam Peckham is 1598056848. It was assigned to this individual provider in the NPPES registry on April 20, 2011. The provider is also known as Miriam Young.

Q: What is Miriam Peckham's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Miriam Peckham was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 20, 2011PECOS EnrolledAccepts Medicare Assignment

92.06/100

CMS Quality Rating

30 N 1900 E # 1C412, GME OFFICE, SALT LAKE CITY, UT 84132(801) 581-2401(801) 585-2507 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2021, Jul 13, 2017, Jun 16, 2016 (3 updates tracked since 2016).

On this page

About Dr. Miriam Peckham M.d. NPPES

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

DR. MIRIAM PECKHAM M.D. (NPI 1598056848) is an individual diagnostic radiology provider in Salt Lake City, Utah, licensed in Utah (9683730-1205) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Loma Linda University School Of Medicine (2011).

NPPES Registry Identity

NPI1598056848

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. MIRIAM PECKHAMCredential: M.D.

Location Address30 N 1900 E # 1C412, GME OFFICESalt Lake City, UT 84132-2115

Mailing Address30 N 1900 E # 1c412, Gme OfficeSalt Lake City, UT 84132-2115 · (801) 581-2401 · Fax (801) 585-2507

Phone(801) 581-2401

Fax(801) 585-2507

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2011

Enumeration DateApril 20, 2011

Last NPPES UpdateNovember 11, 20213 updates tracked since enumeration

NPPES CertifiedNovember 11, 2021

✔ NPI 1598056848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in UT · 9683730-1205

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

30 N 1900 E # 1C412, Salt Lake City, UT 84132

Open in Google Maps ↗

Other Names 1

Former Name (1)Miriam Young

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Miriam Peckham M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385934991

PECOS Enrollment IDI20170626001378

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 Miriam Peckham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Adult Services

0.1 mi

Pulmonary Disease

50 NORTH MEDICAL DRIVE
Salt Lake City, UT 84132

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1093119893 (801) 581-2121

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

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

112 services107 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

82 services81 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

42 services41 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

41 services41 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

28 services28 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

26 services26 patients

Mri scan of lower spinal canal before and after contrast 72158

An MRI scan of the lower spinal canal with contrast is a non-invasive imaging procedure. It uses magnetic fields to generate detailed images of your lower spine. A contrast agent is injected to enhance these images, helping doctors see issues more clearly.

23 services23 patients

Ct scan of soft tissue of neck with contrast 70491

A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.

21 services21 patients

Mri scan of middle spinal canal before and after contrast 72157

An MRI scan of the middle spinal canal with contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your spine, both before and after a contrast dye is injected. The dye helps to highlight certain structures, providing a clearer picture for diagnosis.

16 services16 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

15 services15 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

15 services15 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

14 services12 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

12 services12 patients

Mri scan of upper spinal canal before and after contrast 72156

An MRI scan of the upper spinal canal before and after contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. Contrast dye is injected to enhance these images, providing clearer visuals for accurate diagnosis.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.57

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

AARON MARCUS CONGER D.O.

Physical Medicine & Rehabilitation

30 N 1900 E # 1C412
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-2401

SANAA BEGUWALA D.D.S

Student in an Organized Health Care Education/Training Program

30 N 1900 E # 1C412
SALT LAKE CITY, UT 84132

Salt Lake County (949) 294-0308

DR. JOEL KEVIN BAGLEY II MD

Surgery

30 N 1900 E # 1C412
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-2401

DR. ALI ALALAWI

Student in an Organized Health Care Education/Training Program

30 N 1900 E # 1C412
SALT LAKE CITY, UT 84132

Salt Lake County (801) 581-2401

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 Miriam Peckham's NPI number?

The NPI number for Miriam Peckham is 1598056848. It was assigned to this individual provider in the NPPES registry on April 20, 2011. The provider is also known as Miriam Young.

Where is Miriam Peckham located?

Miriam Peckham practices at 30 N 1900 E # 1c412 Gme Office, Salt Lake City, UT 84132. The listed phone number is (801) 581-2401.

What is Miriam Peckham's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Miriam Peckham enrolled in Medicare?

Yes. Miriam Peckham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Miriam Peckham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Peckham reassigns Medicare benefits to University Of Utah Adult Services (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 Miriam Peckham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Miriam Peckham affiliated with any hospitals?

According to CMS data, Miriam Peckham is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Miriam Peckham was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.