NPIMap

Individual provider Active NPI

Tessa Lee, MD

  • Family Medicine Physician
  • South Jordan, UT
National Provider Identifier
1285260232
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12412053-1205 Issued in UT
Practice address
1868 W 9800 S Ste 100
South Jordan, UT 84095-4713
Phone
(801) 433-2873
Fax
(801) 433-5734
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12412053-1205 UT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1868 W 9800 S Ste 100
South Jordan, UT 84095-4713

Mailing address

6009 W Autumn Vistas Dr
West Valley City, UT 84128-5510
Phone (801) 824-7018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230411000450 UT Practitioner - Family Practice 4587039227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1868 W 9800
Suite 100
South Jordan, UT 84095-4713
Phone (801) 433-2873

1868 W 9800 S
Suite 100
South Jordan, UT 84095-4713

Hospital & facility affiliations

  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058
  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12412053-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Jan 19, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 19, 2023 Accepting new patients
Tessa Lee MD CurrentSince Feb 13, 2023 Accepting new patients
Andrew Robinson D O LLC Family Medicine Current Accepting new patients
Rebecca Levine, MD, PLLC Family Medicine Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Katie a Julien MD PC Current Accepting new patients
Michael D Jones MD PC Current Accepting new patients
Sojourner Health PC Family Medicine Current Accepting new patients
Piacitelli FM LLC Family Medicine Current Accepting new patients

Locations

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

395 W Cougar Blvd
Ste 205
Provo, UT 84604
Phone (801) 357-1770

475 W 940 N
Provo, UT 84604
Phone (801) 357-7909

1868 W 9800 S
South Jordan, UT 84095
Phone (801) 433-2873

1868 W 9800 S
#100
South Jordan, UT 84095
Phone (801) 285-8848

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDFEAA/Endpoint/GDFEAA

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 5

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1285260232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 W AUTUMN VISTAS DR",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841285510",
            "telephone_number": "801-824-7018",
            "fax_number": "801-433-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 W 9800 S STE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954713",
            "telephone_number": "801-433-2873",
            "fax_number": "801-433-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TESSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12412053-1205",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.