Shivwits Medical Clinic – Clinic/Center, NPI 1801063441
Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Shivwits Medical Clinic
1449 N 1400 W STE 19
ST GEORGE, UT 847705237
Phone: (354) 688-8199
Fax: (435) 688-7572
Type: Location
3705 N 6100 W
IVINS, UT 84738
Phone: (435) 688-8198
Type: Location
440, Paiute Drive, Cedar City, Iron County, Utah, 84720, United States
CEDAR CITY, UT 847202681
Phone: (435) 586-1112
Fax: (434) 867-1514
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: 2024-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-06-30 (343 days ago).
Enrollment records
3
Earliest due date
2025-06-30
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 |
|---|---|---|---|---|
| O20150803002263 | O | Indian Health Services Facility | TX | 2025-06-30 |
| O20240716002350 | O | Indian Health Services Facility | UT | TBD |
| O20241126002275 | O | Indian Health Services Facility | UT | 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 84770)
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