Active NPI
Karin L. Hoeg, MD
- Pediatric Radiology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 6490330-1205
- Practice address
- 100 No. Mario Capecchi Dr.
Salt Lake City, UT 84113 - Phone
- (801) 662-1900
- Fax
- (801) 662-1810
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 35.082542 | OH | |
| Pediatric Radiology Physician | 2085P0229X | 6490330-1205 | UT | Primary |
Addresses
Primary practice location
100 No. Mario Capecchi Dr.
Salt Lake City, UT 84113
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 910-7754
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7175581 | Other | UT | AETNA |
| 8561110 | Other | UT | CIGNA |
| 64903301200001 | Other | UT | BLUE CROSS BLUE SHIELD |
| 94140 | Other | UT | PUBLIC EMPLOYEES HEALTH P |
| A021 | Other | UT | TRICARE |
| IDX37758 | Other | UT | UHN |
| 21294508479 | Other | UT | BEECHSTREET |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KHOEG106075@DIRECT.MED.UTAH.EDU | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone (801) 487-0451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.082542 | OH | MD | Pediatric Radiology Physician |
| 6490330-1205 | UT | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| University of Utah Pediatric Services | Current | Accepting new patients | |
| University of Utah Pediatric Services | Current | Accepting new patients | |
| Ihc Health Services Inc | Pediatric Radiology | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| University of Utah Pediatric Services | Current | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100
36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
Interoperability endpoints
- khoeg106075@direct.med.utah.edu
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Pediatrics Physician
- Salt Lake City, UT
- NPI 1487018974
-
- Pediatric Radiology Physician
- Salt Lake City, UT
- NPI 1053664680
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Physiological Laboratory
- Cedar City, UT
- NPI 1538841747
-
- Physiological Laboratory
- St George, UT
- NPI 1578206462
-
- Physiological Laboratory
- Ogden, UT
- NPI 1144802802
-
- Physiological Laboratory
- West Valley City, UT
- NPI 1407438039
-
- Physiological Laboratory
- Spanish Fork, UT
- NPI 1518727734
-
- Physiological Laboratory
- Salt Lake City, UT
- NPI 1649998709
-
- Pediatric Surgery Physician
- Salt Lake City, UT
- NPI 1205290053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709510400000",
"number": "1215940465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-910-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NO. MARIO CAPECCHI DR.",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84113",
"telephone_number": "801-662-1900",
"fax_number": "801-662-1810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOEG",
"first_name": "KARIN",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "OH",
"license": "35.082542",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "UT",
"license": "6490330-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7175581",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8561110",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "64903301200001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUBLIC EMPLOYEES HEALTH P",
"identifier": "94140",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A021",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHN",
"identifier": "IDX37758",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "21294508479",
"state": "UT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KHOEG106075@DIRECT.MED.UTAH.EDU",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.