Individual provider Active NPI

Chad L Roberts, MD

  • General Practice Physician
  • Lehi, UT
National Provider Identifier
1952964330
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12492294-1205 Issued in UT
Practice address
2135 W Main St Ste B105
Lehi, UT 84043-6936
Phone
(801) 663-1296
NPI assigned
Apr 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TL.0007872 CO
General Practice Physician 208D00000X 12492294-1205 UT Primary
Family Medicine Physician 207Q00000X TL.0007872 CO

Addresses

Primary practice location

2135 W Main St Ste B105
Lehi, UT 84043-6936

Mailing address

2135 W Main St Ste B105
Lehi, UT 84043-6936
Phone (801) 663-1296

Other practice location 1

902 Lakeview Ave
Pueblo, CO 81004-3597
Phone (719) 557-5872

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address help@mountainridgehealthcare.com Health Information Exchange (HIE)

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
I20220829003424 UT Practitioner - Family Practice 6406180603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2135 W Main St
Suite B105
Lehi, UT 84043-6936
Phone (801) 663-1296

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TL.0007872COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Ridge Healthcare PLLC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients

Locations

2135 W Main St
Ste B105
Lehi, UT 84043
Phone (801) 663-1296

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFIJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFIJCD/Endpoint/BFIJCD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1952964330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 W MAIN ST STE B105",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436936",
            "telephone_number": "801-663-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 W MAIN ST STE B105",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436936",
            "telephone_number": "801-663-1296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043597",
            "country_code": "US",
            "telephone_number": "719-557-5872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CHAD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-21",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.0007872",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "12492294-1205",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "TL.0007872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "help@mountainridgehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "Electronic Email Communication",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2135 W Main St Ste B105",
            "city": "Lehi",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840436936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.