Individual provider Active NPI

Elizabeth Vickers Saarel, M.D.

  • Adult Congenital Heart Disease Physician
  • Salt Lake City, UT
National Provider Identifier
1780763250
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Congenital Heart Disease PhysicianTaxonomy code 207RA0002X
License
M-10382 Issued in ID
Practice address
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone
(801) 662-5400
Fax
(801) 662-5414
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M-10382 ID
Pediatric Cardiology Physician 2080P0202X 5957969-1205 UT
Pediatric Cardiology Physician 2080P0202X M-10382 ID
Pediatric Cardiology Physician 2080P0202X 35.083015 OH
Pediatric Cardiology Physician 2080P0202X 7575A WY
Adult Congenital Heart Disease Physician 207RA0002X M-10382 ID Primary

Addresses

Primary practice location

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

520 S Eagle Rd Ste 2204
Meridian, ID 83642-6351
Phone (208) 336-9188

Other practice location 1

305 W Jefferson St
Boise, ID 83702-6047
Phone (208) 336-9188

Other practice location 2

2047 S Springbrook Ln
Boise, ID 83706-6106
Phone (801) 232-0909

Other names 1

  • Elizabeth Crosby Vickers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200618001294 ID Practitioner - Other (Physician)Practitioner - Pediatric Medicine 5698673184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
University of California, Geffen School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

305 E Jefferson St
Boise, ID 83712-6231
Phone (208) 345-0715

3525 E Louise Dr
Meridian, ID 83642-6303

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-10382IDMDPediatric Cardiology Physician
7575AWYMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince May 5, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 1, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince May 5, 2020 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jun 1, 2020 Accepting new patients
St Lukes Regional Medical Center PastSince Dec 6, 2020 Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

305 E Jefferson St
Boise, ID 83712
Phone (208) 345-0715

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

520 S Eagle Rd
Ste 2204
Meridian, ID 83642
Phone (208) 336-9188

3525 E Louise Dr
Ste 400
Meridian, ID 83642

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1780763250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD STE 2204",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426351",
            "telephone_number": "208-336-9188",
            "fax_number": "208-336-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARIO CAPECCHI DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131103",
            "telephone_number": "801-662-5400",
            "fax_number": "801-662-5414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026047",
            "country_code": "US",
            "telephone_number": "208-336-9188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2047 S Springbrook Ln",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837066106",
            "country_code": "US",
            "telephone_number": "801-232-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAAREL",
        "first_name": "ELIZABETH",
        "middle_name": "VICKERS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M-10382",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "UT",
            "license": "5957969-1205",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "ID",
            "license": "M-10382",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "35.083015",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WY",
            "license": "7575A",
            "primary": false
        },
        {
            "code": "207RA0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adult Congenital Heart Disease",
            "state": "ID",
            "license": "M-10382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "VICKERS",
            "middle_name": "CROSBY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.