NPIMap

Organization Active NPI

Utah Healthcare Institute Inc

Doing business as St. Mark's Family Medicine

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1376597344
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UTAH HEALTHCARE INSTITUTE INC
Doing business as
St. Mark's Family Medicine
Practice address
1250 E 3900 S
Suite 260
Salt Lake City, UT 84124-1348
Phone
(801) 265-2000
Fax
(801) 265-2008
NPI assigned
May 22, 2006
Last updated
Dec 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
John Berneike, MDNPI 1982688321
Title
Director/Officer
Phone
(801) 265-2000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1250 E 3900 S
Suite 260
Salt Lake City, UT 84124-1348

Mailing address

1250 E 3900 S
Suite 260
Salt Lake City, UT 84124-1348
Phone (801) 265-2000

Other identifiers 1

IdentifierTypeStateIssuer
1376597344MedicaidUT

Other names 1

  • ST. MARK'S FAMILY MEDICINE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000492 UT Part B Supplier - Clinic/Group Practice 7719882562 Receives reassigned benefits from 25 practitioners
Practice locations: Salt Lake City, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0938078St Mark's Family Medicine Center1250 E 3900 S Ste 260, Salt Lake City, UT 84124Provider-performed microscopySep 9, 2026

National Provider Directory

National Provider Directory

Locations

6947 S 900 E
Midvale, UT 84047
Phone (801) 265-2000

1200 E 3900 S
#260
Salt Lake City, UT 84124

1250 E 3900 S
Ste 260
Slc, UT 84124
Phone (801) 265-2000

2618 W 7800 S
Ste 200
West Jordan, UT 84088
Phone (801) 562-1531

Practitioners & affiliated clinicians

Practitioners 83

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 83

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1376597344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S",
            "address_2": "SUITE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241348",
            "telephone_number": "801-265-2000",
            "fax_number": "801-265-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S",
            "address_2": "SUITE 260",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241348",
            "telephone_number": "801-265-2000",
            "fax_number": "801-265-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH HEALTHCARE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "BERNEIKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "801-265-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376597344",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. MARK'S FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.