Utah Valley Pediatric Intensivists – Pediatric Critical Care Medicine Physician, NPI 1174039614

Utah Valley Pediatric Intensivists is a healthcare provider. based in Salt lake city, Utah. specializing in Pediatric Critical Care Medicine Physician. The NPI Number for Utah Valley Pediatric Intensivists is 1174039614

Main info

Organization
Name
Utah Valley Pediatric Intensivists
NPI
1174039614
Phone
(801) 442-1853
Address
PO BOX 27128
Authorized Official
MARK BRIESACHER SVP CHIEF EXEC PHYS/MG PRES MD
Enumeration Date
20 December 2017
Last Update Date
26 November 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness80
Years active:8State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Utah Valley Pediatric Intensivists

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 442-1853

    Type: Mailing

  • Utah Valley Hospital, 1034, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846043380

    Phone: (801) 357-3809

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 84127)

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Reviews

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Frequently asked questions

What is the standard ID for Utah Valley Pediatric Intensivists in the U.S.?
In the U.S., Utah Valley Pediatric Intensivists is identified by NPI 1174039614.
Is Utah Valley Pediatric Intensivists currently accepting referrals based on NPI status?
Registry metadata lists Utah Valley Pediatric Intensivists as active.
What services align with Utah Valley Pediatric Intensivists's listing?
Utah Valley Pediatric Intensivists's public classification highlights Pediatric Critical Care Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Utah Valley Pediatric Intensivists?
The directory associates Utah Valley Pediatric Intensivists with Salt Lake City, Utah. Check all listed addresses for suites or satellite offices.
Can I export Utah Valley Pediatric Intensivists's record?
You can download the official NPPES record; we summarize key fields for readability.

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