Cody Roger Larson, M.D.

Key facts

NPI

1386986057

Entity type

Individual (NPI type 1)

Primary specialty

Diagnostic Radiology Physician 2085R0202X

License

10779159-1205 (UT)

Practice address

1380 E Medical Center Dr
St George, UT 84790-2123

Phone

(801) 225-6246

NPI assigned

Mar 20, 2013

Sex

Male

Sole proprietor

Yes

Organizations & group practices 5

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.

• Ihc Health Services Inc Multi-Specialty Clinic/Center · Murray, UT · NPI 1629260880
  Medicare reassignment NPD FAMILY MEDICINE · UT
• Ihc Health Services Inc Multi-Specialty Clinic/Center · Sandy, UT · NPI 1942325154
  Medicare reassignment NPD UT
• Ihc Health Services Inc Sports Medicine (Internal Medicine) Physician · Payson, UT · NPI 1023449733
  NPD FAMILY MEDICINE
• Ihc Health Services Inc Multi-Specialty Clinic/Center · Heber City, UT · NPI 1720032865
  NPD
• Ihc Health Services, Inc. Psychiatry Physician · St George, UT · NPI 1023843844
  NPD

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc. General Acute Care Hospital · St George, UT · NPI 1366452880
  Care Compare affiliation Hospital
• Kane County Human Resource Special Service District Family Medicine Physician · Kanab, UT · NPI 1215001037
  Care Compare affiliation Hospital
• Kane County Human Resource Special Service District Critical Access Hospital · Kanab, UT · NPI 1740519370
  Care Compare affiliation Hospital
• MMC of Nevada LLC Critical Access Hospital · Mesquite, NV · NPI 1275588782
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Diagnostic Radiology

Education

University of Utah School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services Inc (3,948 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. George Regional Hospital Hospital · St George, UT · CCN 460021
• Mesa View Regional Hospital Hospital · Mesquite, NV · CCN 291307
• Kane County Hospital Hospital · Kanab, UT · CCN 461309

Medicare participation

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2025.

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1386986057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 E MEDICAL CENTER DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902123",
            "telephone_number": "801-225-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CODY",
        "middle_name": "ROGER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "10779159-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St George, UT

• Zoe Larsen
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• Ariana Larson, RBT
• Aspen Larson
• Jeremy Larson
• Jeremy R Larson, DO
• Joshua James Larson, MD
• Melissa A Larson
• Tiffany A Larson, LCSW

All providers in St George, UT · Diagnostic Radiology Physician in Utah