Individual provider Active NPI

Elisabeth A Ferlic, M.D.

  • Urology Physician
  • Sandy, UT
National Provider Identifier
1114185634
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9017811-1205 Issued in UT
Practice address
9720 S 1300 E
Suite E230
Sandy, UT 84094-3712
Phone
(801) 501-2950
Fax
(801) 501-2951
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 56312 MN
Urology Physician 208800000X 01098927A IN
Urology Physician 208800000X 036178081 IL
Urology Physician 208800000X 42235 AZ
Urology Physician 208800000X 9017811-1205 UT Primary

Addresses

Primary practice location

9720 S 1300 E
Suite E230
Sandy, UT 84094-3712

Mailing address

9720 S 1300 E
Suite E230
Sandy, UT 84094-3712
Phone (801) 501-2950

Other practice location 1

11141 Parkview Plaza Dr Ste 320
Fort Wayne, IN 46845-1714
Phone (260) 425-5400

Other practice location 2

1001 Main St Ste 400
Peoria, IL 61606-2036
Phone (309) 308-0920

Other identifiers 1

IdentifierTypeStateIssuer
470009MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, GA, IL, IN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140610001672 UT Practitioner - Urology 4587702881 Reassigns benefits to 1 organization
I20260130003225 GA Practitioner - Urology 4587702881 Reassigns benefits to 1 organization
I20260216001585 IL Practitioner - Urology 4587702881
I20260227000309 IN Practitioner - Urology 4587702881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020

1400 N 500
Logan, UT 84341-2455
Phone (435) 716-1000

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

1904 Palmyra Rd
Albany, GA 31701-1575
Phone (229) 883-0500

1950 Palmyra Rd
Albany, GA 31701-1575
Phone (229) 432-8463

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036178081ILMDUrology Physician
01098927AINMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Parkview Health System, Inc. Urology CurrentSince Feb 2, 2026 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jan 8, 2026 Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 4, 2026 Accepting new patients
Ihc Health Services Inc Urology Past Accepting new patients
Phoebe Putney Memorial Hospital Inc Family Medicine Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

1950 Palmyra Rd
Albany, GA 31701
Phone (229) 883-1503

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

1001 Main St
Ste 400
Peoria, IL 61606
Phone (309) 308-0920

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

11141 Parkview Plaza Dr
Ste 320
Fort Wayne, IN 46845
Phone (260) 425-5400

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

1818 Carew St
Ste 210
Fort Wayne, IN 46805
Phone (260) 425-5400

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

9450 S 1300 E
Sandy, UT 84094
Phone (801) 501-2133

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1114185634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 S 1300 E",
            "address_2": "SUITE E230",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943712",
            "telephone_number": "801-501-2950",
            "fax_number": "801-501-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 S 1300 E",
            "address_2": "SUITE E230",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943712",
            "telephone_number": "801-501-2950",
            "fax_number": "801-501-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11141 Parkview Plaza Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451714",
            "country_code": "US",
            "telephone_number": "260-425-5400",
            "fax_number": "260-425-5417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Main St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616062036",
            "country_code": "US",
            "telephone_number": "309-308-0920",
            "fax_number": "309-308-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERLIC",
        "first_name": "ELISABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "56312",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01098927A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036178081",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "42235",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "UT",
            "license": "9017811-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470009",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.