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JED B VANDENBERGHE MD
NPI 1922011576
Pediatrics in Salt Lake City, UT

Active since August 14, 2006PECOS Enrolled
2180 E 4500 S, SALT LAKE CITY, UT 84117(801) 278-4693 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jed B Vandenberghe Md NPPES

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

JED B VANDENBERGHE MD (NPI 1922011576) is an individual pediatrics provider in Salt Lake City, Utah, licensed in Utah (871778461205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922011576
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJED B VANDENBERGHECredential: MD
Location Address2180 E 4500 SSalt Lake City, UT 84117-4434
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 278-4693
Phone(801) 278-4693
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateNovember 15, 2007
✔ NPI 1922011576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 871778461205
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.
2180 E 4500 S, Salt Lake City, UT 84117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jed B Vandenberghe Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84117 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
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CENTER FOR COUNSELING EXCELLENCE
Community/Behavioral Health
2180 E 4500 S, SUITE 105
HOLLADAY, UT 84117
Salt Lake County (801) 980-1343
KAITLYN SHYANNE WININGER LMT
Massage Therapist
2180 E 4500 S
HOLLADAY, UT 84117
Salt Lake County (801) 592-6588
DR. J. JOSHUA SMITH DMD
Dentist (General Practice)
2180 E 4500 S, SUITE #250
SALT LAKE CITY, UT 84117
Salt Lake County (801) 272-8609
SMART DENTAL CARE
Dentist
2180 E 4500 S
SALT LAKE CITY, UT 84117
Salt Lake County (801) 272-8609
GOLDEN HEALTH SERVICES
Hospice Care, Community Based
2180 E 4500 S, STE 210 F
HOLLADAY, UT 84117
Salt Lake County (801) 996-8690
MARK R BRIESACHER MD
Pediatrics
2180 E 4500 S, #210
SALT LAKE CITY, UT 84117
Salt Lake County (801) 278-4719
THE HEALING GROUP, PC
Community/Behavioral Health
2180 E 4500 S, SUITE 165
HOLLADAY, UT 84117
Salt Lake County (801) 461-9060
DR. JAYNE ELIZABETH CLARK M.D.
Physical Medicine & Rehabilitation
2180 E 4500 S, SUITE #185
HOLLADAY, UT 84117
Salt Lake County (801) 272-6972

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's NPI number?

The NPI number for Jed Vandenberghe is 1922011576. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Jed Vandenberghe located?

Jed Vandenberghe practices at 2180 E 4500 S, Salt Lake City, UT 84117. The listed phone number is (801) 278-4693.

What is Jed Vandenberghe's specialty?

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

Is Jed Vandenberghe enrolled in Medicare?

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

What insurance does Jed Vandenberghe accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Jed Vandenberghe 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 was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.