Rodney A. Pollary, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

158042-1205 Issued in UT

Practice address

2978 N Desert Forest LN
Lehi, UT 84043-6520

Phone

(801) 885-0309

Fax

(801) 823-0784

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1902805500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2978 N DESERT FOREST LN",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436520",
            "telephone_number": "801-885-0309",
            "fax_number": "435-789-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 N DESERT FOREST LN",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436520",
            "telephone_number": "801-885-0309",
            "fax_number": "801-823-0784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 N 100 W",
            "address_2": "Ste 106",
            "address_purpose": "LOCATION",
            "city": "Vernal",
            "state": "UT",
            "postal_code": "84078",
            "country_code": "US",
            "telephone_number": "435-789-9060",
            "fax_number": "435-789-7754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLARY",
        "first_name": "RODNEY",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "158042-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16670013",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTAH DRIVER'S LICENSE",
            "identifier": "008955005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Lehi, UT
• Providers in Lehi, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.