NEPHROLOGY ASSOCIATES OF UTAH LLC – Nephrology Physician, NPI 1750473948
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NEPHROLOGY ASSOCIATES OF UTAH LLC
3823 W 9000 S
West Jordan, UT 840885603
Phone: (801) 288-2634
Fax: (801) 288-1186
Type: Location
12523 S Creek Meadow Rd Ste 111
Riverton, UT 840657291
Phone: (801) 288-2634
Fax: (801) 288-1186
Type: Location
1244 N Main St Ste 101
Tooele, UT 840749839
Phone: (801) 288-2634
Fax: (801) 288-1186
Type: Location
4101 W Pioneer Pkwy Ste 103
West Valley, UT 841202050
Phone: (801) 288-2634
Fax: (801) 288-1186
Type: Location
121 S Orem Blvd Ste 103
Orem, UT 840583006
Phone: (801) 225-4911
Fax: (801) 225-4854
Type: Location
3000 N Triumph Blvd Ste 340
Lehi, UT 840437188
Phone: (801) 225-4911
Fax: (801) 225-4854
Type: Location
1735 W 2700 N
Ogden, UT 844041208
Phone: (801) 779-3500
Fax: (801) 779-3508
Type: Location
2132 N 1700 W
Ste 110
Layton, UT 840417059
Phone: (801) 779-3500
Fax: (801) 779-3508
Type: Location
1551 Renaissance Towne Dr Ste 340
Bountiful, UT 840107670
Phone: (801) 288-2634
Fax: (801) 288-1186
Type: Location
2965 W 3500 S Fl 2
West Valley City, UT 841193602
Phone: (801) 288-2634
Fax: (801) 288-1186
Type: Location
5285 S 400 E Ste B
Washington Terrace, UT 844057194
Phone: (801) 779-3500
Fax: (801) 779-3508
Type: Location
State Street, Wallace Heights, Sandy, Salt Lake County, Utah, 84047, United States
SALT LAKE CITY, UT 841155096
Phone: (801) 288-2634
Fax: (801) 288-1186
Type: Mailing
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: 2004-06-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| O20040628000443 | O | Clinic/Group Practice | UT | 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 84088)
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