PEDIATRIC UROLOGY ASSOCIATES NPI 1790794576

NPI Information

  • NPI: 1790794576
  • Provider Name: PEDIATRIC UROLOGY ASSOCIATES
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 100 MARIO CAPECCHI DR
    SALT LAKE CITY, UT
    ZIP 84113
  • Phone: (801) 588-2000

Map and Directions

Get Directions

NPI Details

PEDIATRIC UROLOGY ASSOCIATES is an urology in Salt Lake City, UT. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PEDIATRIC UROLOGY ASSOCIATES NPI is 1790794576. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 588-2000

The provider's authorized official is Janell I Madonna .
The authorized official title is Director Of Contracting And Pe and has the following contact phone number (801) 587-6464.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 4/14/2009.

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
1208800000XUrologyYes

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
1=========003MEDICAIDUTAH
2000055999MEDICARE ID-TYPE UNSPECIFIEDUTAH

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI