Cache Valley Endocrine & Family Medicine – Family Medicine Physician, NPI 1023512241
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Cache Valley Endocrine & Family Medicine
661, East 500 South, River Heights, Cache County, Utah, 84321, United States
RIVER HEIGHTS, UT 843215605
Phone: (435) 232-3458
Type: Mailing
10, North Main Street, Logan, Cache County, Utah, 84341, United States
NORTH LOGAN, UT 843411740
Phone: (435) 716-8765
Fax: (435) 915-3700
Type: Location
2150 N Main St Ste 3
North Logan, UT 843411740
Phone: (435) 716-8765
Fax: (435) 915-3700
Type: Location
2150 N MAIN ST STE 10
NORTH LOGAN, UT 843411740
Phone: (435) 716-8765
Fax: (435) 915-3700
Type: Mailing
280 S MAIN ST
BOUNTIFUL, UT 840106236
Phone: (801) 505-0821
Fax: (801) 505-0803
Type: Mailing
2150 N MAIN ST STE 3
NORTH LOGAN, UT 843411740
Phone: (435) 716-8765
Fax: (435) 915-3700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-07-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-09-30 (615 days ago).
Enrollment records
1
Earliest due date
2024-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180703001738 | O | Clinic/Group Practice | UT | 2024-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84321)
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