Active NPI
Elizabeth Vickers Saarel, M.D.
- Adult Congenital Heart Disease Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Congenital Heart Disease Physician
- License
- M-10382
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-10382 | ID | MD | Pediatric Cardiology Physician |
| 7575A | WY | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| St Lukes Regional Medical Center | Past | 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.
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.