Organization Active NPI

Ogden Pulmonary Associates PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Ogden, UT
National Provider Identifier
1457596801
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
OGDEN PULMONARY ASSOCIATES PLLC
Practice address
5957 Fashion Point Dr Ste 103
Ogden, UT 84403-5180
Phone
(385) 492-4930
Fax
(385) 492-4449
NPI assigned
Dec 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Gurjeet S Grover, MDNPI 1972721801
Title
President
Phone
(801) 791-7798

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 163985-1205 UT

Addresses

Primary practice location

5957 Fashion Point Dr Ste 103
Ogden, UT 84403-5180

Mailing address

PO Box 150627
Ogden, UT 84415-0627
Phone (385) 492-4930

Other identifiers 4

IdentifierTypeStateIssuer
251457528002MedicaidUT
304666417021MedicaidUT
528580565045MedicaidUT
002425759021MedicaidUT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address officemanager@mspcc.healthcare Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090210000370 UT Part B Supplier - Clinic/Group Practice 3678638517 Receives reassigned benefits from 10 practitioners
Practice locations: Layton, UT
O20151202001461 ID Part B Supplier - Clinic/Group Practice 3678638517 Receives reassigned benefits from 8 practitioners
Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory

Locations

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

2132 N Robins Dr
Ste 307
Layton, UT 84041
Phone (801) 807-7755

4403 Harrison Blvd
Ste 3815
Ogden, UT 84403
Phone (801) 387-2575

5957 Fashion Point Dr
Ste 103
South Ogden, UT 84403
Phone (385) 492-4930

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1457596801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150627",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150627",
            "telephone_number": "385-492-4930",
            "fax_number": "385-492-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 FASHION POINT DR STE 103",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844035180",
            "telephone_number": "385-492-4930",
            "fax_number": "385-492-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGDEN PULMONARY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "GURJEET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-791-7798",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "163985-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251457528002",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304666417021",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528580565045",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002425759021",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "officemanager@mspcc.healthcare",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure email",
            "address_1": "5957 Fashion Point Dr Ste 103",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844035180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 18, 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.