Organization Active NPI

Utah Kidney Clinic LLC

  • Nephrology Physician
  • Ogden, UT
National Provider Identifier
1013520154
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
UTAH KIDNEY CLINIC LLC
Practice address
4345 Harrison Blvd Ste 101
Ogden, UT 84403-3103
Phone
(385) 350-8500
Fax
(385) 350-8555
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Caryl Scharpf
Title
VP
Phone
(971) 287-8852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

4345 Harrison Blvd Ste 101
Ogden, UT 84403-3103

Mailing address

4345 Harrison Blvd Ste 101
Ogden, UT 84403-3103
Phone (385) 350-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201006002557 UT Part B Supplier - Clinic/Group Practice 7719306091 Receives reassigned benefits from 7 practitioners
Practice locations: Logan, UT; Ogden, UT

National Provider Directory

National Provider Directory

Locations

1820 E 17th St
Ste 330
Idaho Falls, ID 83404
Phone (208) 497-0685

480 N 100 E
Logan, UT 84321
Phone (435) 932-2038

630 E 1400 N
Ste 150
North Logan, UT 84341
Phone (435) 787-8504

550 E 1400 N
Ste K
North Logan, UT 84341
Phone (435) 716-2917

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1013520154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 HARRISON BLVD STE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033103",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 HARRISON BLVD STE 101",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033103",
            "telephone_number": "385-350-8500",
            "fax_number": "385-350-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH KIDNEY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "SCHARPF",
        "authorized_official_first_name": "CARYL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "971-287-8852"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.