JED VANDENBERGHE MD PC
NPI 1841171790
Pediatrics in Salt Lake City, UT

Active since September 09, 2025
2160 E 4500 S STE 1, SALT LAKE CITY, UT 84117(801) 278-4693 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jed Vandenberghe Md Pc NPPES

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

JED VANDENBERGHE MD PC (NPI 1841171790) is a healthcare organization registered as a pediatrics in Salt Lake City, Utah and active in the NPI registry since September 2025. The organization lists Jed Vandenberghe, President, as its authorized official.

NPPES Registry Identity

NPI1841171790
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameJED VANDENBERGHE MD PC
Location Address2160 E 4500 S STE 1Salt Lake City, UT 84117-4010
Mailing AddressPo Box 150610Ogden, UT 84415-0610 · (801) 476-9200 · Fax (801) 476-9208
Organization SubpartNo
Authorized OfficialJed VandenberghePresident · (801) 278-4693
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1841171790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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

Accepted 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)

Jed Vandenberghe Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jed Vandenberghe MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pediatric Medicine
NPI 1922011576
2180 E 4500 S
Salt Lake City, UT 84117
(801) 278-4693
✔ PECOS

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 Jed Vandenberghe MD PC's NPI number?

The NPI number for Jed Vandenberghe MD PC is 1841171790. It was assigned to this organization in the NPPES registry on September 9, 2025.

Where is Jed Vandenberghe MD PC located?

Jed Vandenberghe MD PC is located at 2160 E 4500 S Ste 1, Salt Lake City, UT 84117. The listed phone number is (801) 278-4693.

What is Jed Vandenberghe MD PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jed Vandenberghe MD PC enrolled in Medicare?

Yes. Jed Vandenberghe MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jed Vandenberghe MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pediatric Medicine) reassigns their Medicare billing to Jed Vandenberghe MD PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jed Vandenberghe MD PC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Jed Vandenberghe MD PC 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 Jed Vandenberghe MD PC was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.