Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dana Boucek

Individual provider Pediatric Cardiology Physician · NPI 1154612117

Dana Boucek is a Pediatric Medicine in Salt Lake City, Utah. Graduated from University of Colorado School of Medicine, Denver in 2011, 15 years ago. Practices with University of Utah Pediatric Services, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
15
Trained at
University of Colorado School of Medicine, Denver
Licensed in
PA
In the registry since
2011
Specialties on file
2

Practice location Address checks out

100 N Mario Capecchi Dr Primary Children's
Salt Lake City, UT 84113
Phone: (801) 662-5700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3401 Civic Center Blvd, Phildelphia, PA 19104 — (215) 590-3274

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence MD460722 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154612117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 26, 2011
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2011 (15 years in practice)
Group practice University Of Utah Pediatric Services — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Salt Lake City