Active NPI
Genci P. Babameto, M.D.
- Gastroenterology Physician
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 14186030-1235
- Practice address
- 3590 W 9000 S Ste 120
West Jordan, UT 84088-8858 - Phone
- (801) 208-1075
- Fax
- (385) 351-6735
- NPI assigned
- Feb 15, 2006
- Last updated
- Nov 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 14186030-8905 | UT | |
| Gastroenterology Physician | 207RG0100X | MD073245L | PA | |
| Gastroenterology Physician | 207RG0100X | 50173 | WI | |
| Gastroenterology Physician | 207RG0100X | 130278 | MT | |
| Gastroenterology Physician | 207RG0100X | 14186030-1235 | UT | Primary |
Addresses
Primary practice location
3590 W 9000 S Ste 120
West Jordan, UT 84088-8858
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222
Other practice location 1
100 N Academy Ave
Danville, PA 17822-2111
Phone (570) 271-6439
Other practice location 2
100 N Academy Ave
Danville, PA 17822-2111
Phone (570) 271-6439
Other practice location 3
1401 25th St S
Great Falls, MT 59405-5183
Phone (406) 731-8888
Other practice location 4
700 West Ave S
LA Crosse, WI 54601
Phone (608) 785-0940
Other practice location 5
200 1st St SW
Rochester, MN 55905-0001
Phone (715) 838-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, PA, MN, MT, MA, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
2251 N Shore Dr
Rhinelander, WI 54501-6710
3590 W 9000
Suite 120
West Jordan, UT 84088-8858
Phone (801) 208-1075
824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600
900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 14 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130278 | MT | MD | Gastroenterology Physician |
| MD073245L | PA | MD | Gastroenterology Physician |
| 14186030-1235 | UT | MD | Gastroenterology Physician |
| 14186030-8905 | UT | MD | Gastroenterology Physician |
| 50173 | WI | MD | Gastroenterology Physician |
Practice roles
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
29980 Network Pl
Chicago, IL 60673
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
1401 25th St S
Great Falls, MT 59405
Phone (406) 455-3650
42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660
100 N Academy Ave
Danville, PA 17822
82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370
3590 W 9000 S
Ste 120
West Jordan, UT 84088
Phone (801) 208-1075
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
705 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 357-2000
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611
824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
Interoperability endpoints
- gbabameto19228@direct.aspirus.org
- gbabameto741686@direct.gundersenhealth.org
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Behavioral Health West Valley
- Prescribing (Medical) Psychologist
- West Valley City, UT
- NPI 1942903562
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
dba Emplify Health Hamilton Clinic
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
dba Emplify Health La Crosse Hospital
- General Acute Care Hospital
- La Crosse, WI
- NPI 1376593442
MN
-
dba Franciscan Healthcare - Sparta
- Critical Access Hospital
- Sparta, WI
- NPI 1841278637
-
dba Penn Highlands Gastroenterology
- Gastroenterology Physician
- Du Bois, PA
- NPI 1801994652
-
dba Mayo Clinic Health System - La Crosse
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
-
dba Neuroscience & Rehabilitation Lehi Mountain Point
- Neurology Physician
- Lehi, UT
- NPI 1205538162
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
- General Practice Physician
- Stevens Point, WI
- NPI 1184082745
Hospital
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1841264702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 W 9000 S STE 120",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888858",
"telephone_number": "801-208-1075",
"fax_number": "385-351-6735"
}
],
"practiceLocations": [
{
"address_1": "100 N Academy Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178222111",
"country_code": "US",
"telephone_number": "570-271-6439",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 N Academy Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178222111",
"country_code": "US",
"telephone_number": "570-271-6439",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 25th St S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594055183",
"country_code": "US",
"telephone_number": "406-731-8888",
"fax_number": "406-731-8318",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 West Ave S",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "54601",
"country_code": "US",
"telephone_number": "608-785-0940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559050001",
"country_code": "US",
"telephone_number": "715-838-5222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BABAMETO",
"first_name": "GENCI",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "UT",
"license": "14186030-8905",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD073245L",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "50173",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MT",
"license": "130278",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "UT",
"license": "14186030-1235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.