Individual provider Active NPI

Albert O Jarvi, M.D., M.A.

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1265966733
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11854888-1205 Issued in UT
Practice address
24 S 1100 E Ste 310
Salt Lake City, UT 84102-1500
Phone
(801) 328-1260
Fax
(801) 350-4361
NPI assigned
Apr 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 11854888-1205 UT Primary

Addresses

Primary practice location

24 S 1100 E Ste 310
Salt Lake City, UT 84102-1500

Mailing address

24 S 1100 E Ste 310
Salt Lake City, UT 84102-1500
Phone (801) 328-1260

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.alpinemedicalgroup.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210120002578 UT Practitioner - Family Practice 7315351038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Illinois Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alpine Medical GroupGroup PAC ID 7416856109, 12 clinicians

Practice addresses (Care Compare)

24 S 1100
Suite 310
Salt Lake City, UT 84102-4507
Phone (801) 328-1260

Hospital & facility affiliations

  • Holy Cross Hospital - Salt Lake Hospital, Salt Lake City, UT, CCN 460003
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047
  • LDS Hospital Hospital, Salt Lake City, UT, CCN 460006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Medical Group CurrentSince Oct 17, 2020 Accepting new patients

Locations

887 W Center St
Orem, UT 84057
Phone (801) 328-1260

24 S 1100 E
Ste 310
Slc, UT 84102
Phone (801) 328-1260

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: albert.jarvi.1@15169.direct.athenahealth.com

Organizations & group practices 1

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": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1265966733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S 1100 E STE 310",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021500",
            "telephone_number": "801-328-1260",
            "fax_number": "801-350-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 1100 E STE 310",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021500",
            "telephone_number": "801-328-1260",
            "fax_number": "801-350-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVI",
        "first_name": "ALBERT",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D., M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-12",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "11854888-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.alpinemedicalgroup.com",
            "affiliation": "N",
            "address_1": "24 S 1100 E Ste 310",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841021500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.