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DR. ADAM WAHLSTROM D.O
NPI 1881010023
Pediatrics - Adolescent Medicine in St George, UT

Active since March 12, 2014PECOS Enrolled
1240 E 100 S, ST GEORGE, UT 84790(801) 448-8619 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Oct 5, 2021, Feb 5, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Adam Wahlstrom D.o NPPES

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

DR. ADAM WAHLSTROM D.O (NPI 1881010023) is an individual adolescent medicine provider in St George, Utah, licensed in Utah (10389523-1204) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881010023
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. ADAM WAHLSTROMCredential: D.O
Location Address1240 E 100 SSt George, UT 84790-3001
Mailing Address1240 E 100 SSt George, UT 84790-3001 · (801) 628-8232
Phone(801) 448-8619
Sole ProprietorYes
Enumeration DateMarch 12, 2014
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1881010023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in UT · 10389523-1204
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1240 E 100 S, St George, UT 84790
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Adam Wahlstrom D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Ihc Health Services Inc
1.6 mi
Multi-Specialty
544 S 400 E
St George, UT 84770
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1871618850 (801) 442-1400

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

Other Providers at the Same Location NPPES 10

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

THOMAS DEE CALLAHAN M.D.
Family Medicine
1240 E 100 S, SUITE 15A
ST GEORGE, UT 84790
Washington County (435) 656-5323
DOUGLAS DEE CALLAHAN D.O.
Family Medicine
1240 E 100 S, SUITE 15A
ST GEORGE, UT 84790
Washington County (435) 656-5323
MR. MICHAEL RORY BROWN DDS MS
Dentist (Pediatric Dentistry)
1240 E 100 S, SUITE 120
ST GEORGE, UT 84790
Washington County (435) 634-9933
TURNINGLEAF INC.
Counselor (Mental Health)
1240 E 100 S, SUITE 121
ST GEORGE, UT 84790
Washington County (435) 652-1202
ALESA ALLRED
Behavior Analyst
1240 E 100 S, SUITE 202
ST GEORGE, UT 84790
Washington County (435) 673-2211
HOME CAREGIVERS PARTNERSHIP LLC
Home Health
1240 E 100 S, SUITE 119
ST GEORGE, UT 84790
Washington County (435) 773-9982
CALLAHAN CLINIC, PC
General Practice
1240 E 100 S, SUITE 15-A
ST GEORGE, UT 84790
Washington County (435) 656-5323
JENNIFER LEE HILL
Counselor
1240 E 100 S
ST GEORGE, UT 84790
Washington County (435) 652-1202

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 Adam Wahlstrom's NPI number?

The NPI number for Adam Wahlstrom is 1881010023. It was assigned to this individual provider in the NPPES registry on March 12, 2014.

Where is Adam Wahlstrom located?

Adam Wahlstrom practices at 1240 E 100 S, St George, UT 84790. The listed phone number is (801) 448-8619.

What is Adam Wahlstrom's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Adam Wahlstrom enrolled in Medicare?

Yes. Adam Wahlstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adam Wahlstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Wahlstrom reassigns Medicare benefits to Ihc Health Services Inc (St George, 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 Adam Wahlstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Wahlstrom accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Molina Healthcare, Select Health and University of Utah Health Plans list Adam Wahlstrom 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 Adam Wahlstrom was last updated on March 7, 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.