Utah Regional Hospitalists LLC

A Medicare group practice based in Ogden, UT: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4789807165), with 360 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4789807165The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CO, ID, MT, UT
Enrollments
4
Group size
119 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 14 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20140604000236 UT Part B Supplier - Clinic/Group Practice 1962821223
O20160725000206 CO Part B Supplier - Clinic/Group Practice 1962821223
O20170811001682 ID Part B Supplier - Clinic/Group Practice 1740715507
O20201210002793 MT Part B Supplier - Clinic/Group Practice 1740715507

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 360

Page 1 of 4

Clinicians who reassign their Medicare benefits to this group (360) or whom Care Compare lists as members (119).

Sources for this page