DANA BOUCEK – NPI #1154612117
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

DANA BOUCEK is a physician located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1154612117 to DANA BOUCEK on April 26, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was previously updated about 5 years ago on Oct 28, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DANA BOUCEK below.

NPI Profile for
DANA BOUCEK

NPI Number
1154612117
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DANA BOUCEK
Primary location
100 NORTH MARIO CAPECCHI DR.
PRIMARY CHILDREN'S
SALT LAKE CITY, UT 84113
Phone: (801) 662-5700 Fax:
1 Other location(s):
3401 Civic Center Blvd
Division of Pediatric Cardiology
Phildelphia, PA 19104
Phone: (215) 590-3274
Mailing address
3601 MARKET ST UNIT 1713
PHILADELPHIA, PA 19104-5914
Phone: (303) 746-7692 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Oct 28, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)
PA MD460722
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
Y
Endpoint Location
50 N MEDICAL DR,
SALT LAKE CITY, UT 77025-1669

Additional Information

Education
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.