Utah Cancer Specialists – Medical Oncology Physician, NPI 1619925369
Medical Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Utah Cancer Specialists
1492 W Antelope Dr Ste 125
Layton, UT 840411274
Phone: (801) 525-3022
Fax: (801) 267-5617
Type: Location
425 E 5350 S Ste 101
Ogden, UT 844056901
Phone: (385) 423-2855
Fax: (385) 347-5488
Type: Location
1076 N Northcounty Blvd Ste D
Pleasant Grove, UT 840623598
Phone: (801) 492-9934
Fax: (801) 492-9936
Type: Location
5131 S Cottonwood St # L-2
Murray, UT 841075701
Phone: (801) 263-3416
Fax: (801) 263-3428
Type: Location
3592 W 9000 S Ste 200
West Jordan, UT 840888819
Phone: (801) 562-8732
Fax: (801) 267-5633
Type: Location
2326 N 400 E Ste 204
Tooele, UT 840743457
Phone: (435) 882-2365
Fax: (801) 267-5614
Type: Location
1250 E 3900 S Ste B10
Salt Lake City, UT 841241348
Phone: (801) 456-8401
Fax: (801) 456-8408
Type: Location
389 S 900 E Ste 100
Salt Lake City, UT 841022310
Phone: (385) 347-5500
Fax: (801) 267-5616
Type: Location
395 W Cougar Blvd Ste 104
Provo, UT 846043334
Phone: (801) 357-8200
Fax: (801) 357-8201
Type: Location
700 W 800 N Ste 140
Orem, UT 840576301
Phone: (801) 852-0210
Fax: (801) 852-0215
Type: Location
700 W 800 N Ste 340
Orem, UT 840576301
Phone: (385) 241-2293
Fax: (801) 267-5621
Type: Location
520 Medical Dr Ste 100
Bountiful, UT 840108929
Phone: (801) 296-6665
Fax: (801) 267-5620
Type: Location
3245 Channing Way
Idaho Falls, ID 834047536
Phone: (208) 227-2790
Fax: (208) 227-2735
Type: Location
2965 W 3500 S # L4
West Valley City, UT 841193602
Phone: (801) 590-9900
Fax: (801) 267-5626
Type: Location
1121 E 3900 S STE C230
SALT LAKE CITY, UT 841241297
Phone: (801) 262-9494
Fax: (801) 266-2074
Type: Mailing
10808 S RIVER FRONT PKWY STE 400
SOUTH JORDAN, UT 840955761
Phone: (801) 262-9494
Fax: (801) 266-2074
Type: Mailing
100, 700 East, Salt Lake City, Salt Lake County, Utah, 84102, United States
SALT LAKE CITY, UT 841061494
Phone: (801) 269-0231
Fax: (801) 269-0304
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: 2022-09-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20031111000618 | O | Clinic/Group Practice | UT | TBD |
| O20220902002195 | O | Clinic/Group Practice | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 84041)
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