INTEGRATED CLINIX – Multi-Specialty Clinic/Center, NPI 1659931384
Multi-Specialty Clinic/Center
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for INTEGRATED CLINIX
4337, West Oxford Street, Cedar Hills, Utah County, Utah, 84062, United States
CEDAR HILLS, UT 840628638
Phone: (801) 822-1880
Fax: (801) 692-1595
Type: Location
8568 Highway 85
Jonesboro, GA 302384300
Phone: (801) 822-1880
Type: Location
1116 E Houston St Ste 102
San Antonio, TX 782052126
Phone: (801) 822-1880
Type: Location
18301 N 79th Ave Ste F168
Glendale, AZ 853086045
Phone: (801) 822-1880
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: 2023-07-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (12 days ago).
Enrollment records
14
Earliest due date
2026-05-31
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 |
|---|---|---|---|---|
| O20200212001248 | O | Clinic/Group Practice | UT | 2026-05-31 |
| O20210715002356 | O | Clinic/Group Practice | TX | TBD |
| O20220902002799 | O | Clinic/Group Practice | IN | TBD |
| O20220907000343 | O | Clinic/Group Practice | TN | TBD |
| O20220908000351 | O | Clinic/Group Practice | MS | TBD |
| O20220908000851 | O | Clinic/Group Practice | OK | TBD |
| O20230112002479 | O | Clinic/Group Practice | IL | TBD |
| O20230126000300 | O | Clinic/Group Practice | GA | TBD |
| O20230223002815 | O | Clinic/Group Practice | CO | TBD |
| O20230308003042 | O | Clinic/Group Practice | OH | TBD |
| O20230309001525 | O | Clinic/Group Practice | IA | TBD |
| O20230309001768 | O | Clinic/Group Practice | KS | TBD |
| O20230425002544 | O | Clinic/Group Practice | CA | TBD |
| O20230731000606 | O | Clinic/Group Practice | FL | TBD |
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 84062)
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