NPIMap

Organization Active NPI

NPH Anesthesia of Utah, LLC

  • Anesthesiology Physician
  • Ogden, UT
National Provider Identifier
1366077273
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NPH ANESTHESIA OF UTAH, LLC
Practice address
5475 S 500 E
Ogden, UT 84405-6905
Phone
(469) 505-1609
NPI assigned
Mar 11, 2020
Last updated
Aug 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Latricia Smith
Title
Payer Enrollment Supervisor
Phone
(972) 761-5509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

5475 S 500 E
Ogden, UT 84405-6905

Mailing address

2221 Lakeside Blvd Ste 600
Richardson, TX 75082-4416
Phone (972) 422-5941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200811001268 UT Part B Supplier - Clinic/Group Practice 9537584313 Receives reassigned benefits from 156 practitioners
Practice locations: Ogden, UT; West Jordan, UT

National Provider Directory

National Provider Directory

Locations

3773 W 12600 S
Ste 301
Riverton, UT 84065

8th Ave C St E
Salt Lake City, UT 84143
Phone (801) 408-3765

Practitioners & affiliated clinicians

Practitioners 159

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 159

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1366077273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LAKESIDE BLVD STE 600",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824416",
            "telephone_number": "972-422-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 S 500 E",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056905",
            "telephone_number": "469-505-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NPH ANESTHESIA OF UTAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LATRICIA",
        "authorized_official_title_or_position": "PAYER ENROLLMENT SUPERVISOR",
        "authorized_official_telephone_number": "972-761-5509"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "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 Aug 20, 2025; 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.