Individual provider Active NPI

Genci P. Babameto, M.D.

  • Gastroenterology Physician
  • West Jordan, UT
National Provider Identifier
1841264702
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14186030-1235 Issued in UT
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, UT6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20070608000095 WI Practitioner - Gastroenterology 0749388130 Reassigns benefits to 5 organizations
I20090720000138 PA Practitioner - Gastroenterology 0749388130 Reassigns benefits to 2 organizations
I20221018002844 MN Practitioner - Gastroenterology 0749388130 Reassigns benefits to 1 organization
I20231109002444 MT Practitioner - Gastroenterology 0749388130 Reassigns benefits to 1 organization
I20240729000238 MA Practitioner - Internal MedicinePractitioner - OtolaryngologyPractitioner - Gastroenterology 0749388130 Reassigns benefits to 1 organization
I20241209001997 UT Practitioner - Gastroenterology 0749388130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Otolaryngology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

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

ProcedureNumber of procedures
Colonoscopy14
Upper gastrointestinal (GI) endoscopy for acid reflux16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130278MTMDGastroenterology Physician
MD073245LPAMDGastroenterology Physician
14186030-1235UTMDGastroenterology Physician
14186030-8905UTMDGastroenterology Physician
50173WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 11, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Oct 6, 2022 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2009 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Current Accepting new patients
Berkshire Faculty Services Inc CurrentSince Jul 15, 2024 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2009 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Benefis Hospitals Inc CurrentSince Oct 15, 2023 Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Oct 6, 2022 Accepting new patients
Fairview Hospital CurrentSince Jul 15, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 11, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Oct 6, 2022 Accepting new patients

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

  • Direct secure messaging: gbabameto19228@direct.aspirus.org
  • Direct secure messaging: 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.

View all 21

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.