Active NPI
Physicians Medical Group
- Vascular & Interventional Radiology Physician
- Salt Lake City, UT
National Provider Identifier
1972078723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- PHYSICIANS MEDICAL GROUP
- Practice address
- 4624 S Holladay Blvd Ste 202
Salt Lake City, UT 84117-7168 - Phone
- (385) 800-5015
- Fax
- (801) 277-6678
- NPI assigned
- Oct 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Simbari
- Title
- Biller
- Phone
- (385) 800-5015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
4624 S Holladay Blvd Ste 202
Salt Lake City, UT 84117-7168
Mailing address
4624 S Holladay Blvd Ste 202
Salt Lake City, UT 84117-7168
Phone (801) 810-2999
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740543834 | Other | UT | INDIVIDUAL NPI |
| 1619935053 | Other | UT | INDIVIDUAL NPI |
| 1184807208 | Other | UT | INDIVIDUAL NPI |
| 1356897821 | Other | UT | INDIVIDUAL NPI |
| 1861622219 | Other | UT | INDIVIDUAL NPI |
| 1972078723 | Other | UT | GROUP NPI |
Other names 1
- Evolve Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Vascular & Interventional Radiology Physician
- Salt Lake City, UT
- NPI 1184807208
-
- Pain Medicine (Anesthesiology) Physician
- Draper, UT
- NPI 1861622219
-
- Foot & Ankle Surgery Podiatrist
- Salt Lake City, UT
- NPI 1740543834
-
- Vascular & Interventional Radiology Physician
- Phoenix, AZ
- NPI 1619942216
UT
-
- Physician Assistant
- Provo, UT
- NPI 1619935053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766707200000",
"number": "1972078723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4624 S HOLLADAY BLVD STE 202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841177168",
"telephone_number": "801-810-2999",
"fax_number": "801-407-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4624 S HOLLADAY BLVD STE 202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841177168",
"telephone_number": "385-800-5015",
"fax_number": "801-277-6678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-08",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A",
"authorized_official_last_name": "SIMBARI",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "385-800-5015"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1740543834",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1619935053",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1184807208",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1356897821",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1861622219",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1972078723",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Evolve Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.