GAVIN PAUL SLETHAUG MD NPI 1558350512

NPI Information

  • NPI: 1558350512
  • Provider Name: GAVIN PAUL SLETHAUG, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3501 N SCOTTSDALE RD
    STE 130
    SCOTTSDALE, AZ
    ZIP 85251
  • Phone: (480) 425-5000

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NPI Details

Gavin Paul Slethaug, MD is a vascular and interventional radiology radiology in Scottsdale, AZ with 33 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Gavin Paul Slethaug, MD NPI is 1558350512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TORONTO, FACULTY OF MEDICINE
Graduation Year:1993

The provider's business location address is:

3501 N SCOTTSDALE RD
STE 130
SCOTTSDALE, AZ
ZIP 85251-648
Phone: (480) 425-5000
Fax: (480) 945-6548

The NPI 1558350512 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of spine, 1 view (HCPCS:72020)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Limited ultrasound scan of abdomen (HCPCS:76705)

The enumeration date for this NPI number is 10/20/2005 and was last updated on 10/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology27364ARIZONANo
22085R0204XRadiologyVascular & Interventional RadiologyME161562FLORIDANo
32085R0204XRadiologyVascular & Interventional Radiology27364ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1463521MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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