Individual provider Active NPI

Benjamin Paul Neff, DO

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1386106060
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11839373-1204 Issued in UT
Practice address
4624 S Holladay Blvd
Salt Lake City, UT 84117-7054
Phone
(801) 277-2682
NPI assigned
Apr 2, 2019
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11839373-1204 UT Primary

Addresses

Primary practice location

4624 S Holladay Blvd
Salt Lake City, UT 84117-7054

Mailing address

4624 S Holladay Blvd
Holladay, UT 84117-7054
Phone (801) 277-8421

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
I20220727003425 UT Practitioner - Family Practice 5395164164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olympus ClinicGroup PAC ID 8921991506, 10 clinicians

Practice addresses (Care Compare)

4624 S Holladay Blvd
Suite 100
Salt Lake City, UT 84117-7056
Phone (801) 277-2682

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11839373-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympus Clinic Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Olympus Family Medicine Family Medicine PastSince Aug 1, 2022 Accepting new patients
Utah Healthcare Institute Inc Family Medicine PastSince Jul 1, 2000 Accepting new patients

Locations

4624 S Holladay Blvd
Ste 100
Salt Lake Cty, UT 84117
Phone (801) 277-2682

4624 S Holladay Blvd
Slc, UT 84117
Phone (801) 277-1028

Interoperability endpoints

  • Direct secure messaging: benjamin.neff@27705477693444.direct.elationemr.com

Organizations & group practices 3

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

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1386106060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841177054",
            "telephone_number": "801-277-8421",
            "fax_number": "801-277-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 S HOLLADAY BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841177054",
            "telephone_number": "801-277-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEFF",
        "first_name": "BENJAMIN",
        "middle_name": "PAUL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "11839373-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.