Active NPI
Chad L Roberts, MD
- General Practice Physician
- Lehi, UT
National Provider Identifier
1952964330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12492294-1205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL.0007872 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Ridge Healthcare PLLC | Family Medicine | Current | Accepting new patients |
Locations
2135 W Main St
Ste B105
Lehi, UT 84043
Phone (801) 663-1296
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFIJCD
- 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.
-
- Family Medicine Physician
- Lehi, UT
- NPI 1710695473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.