UTAH MOBILE PHYSICIANS – Internal Medicine Physician, NPI 1982246047
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for UTAH MOBILE PHYSICIANS
175 N State St
Lindon, UT 840421813
Phone: (801) 922-0599
Type: Location
1449 E 150 S
Spanish Fork, UT 846606308
Phone: (801) 892-2000
Type: Location
564 W Main St
Lehi, UT 840432056
Phone: (801) 939-3003
Type: Location
218 W Olympic Ln
Payson, UT 846515712
Phone: (801) 504-6091
Type: Location
3352 N 100 E
Provo, UT 846046644
Phone: (801) 377-3730
Type: Location
4146 N University Ave
Provo, UT 846044960
Phone: (801) 374-3384
Type: Location
1424 S 1700 E
Spanish Fork, UT 846609007
Phone: (801) 798-1500
Type: Location
409 S 300 W
Santaquin, UT 846558156
Phone: (801) 754-0813
Type: Location
858 E 100 S
Spanish Fork, UT 846602240
Phone: (801) 477-9015
Type: Location
322 N 2375 W
Lehi, UT 840435885
Phone: (801) 896-9407
Type: Location
164 W 200 S
American Fork, UT 840032344
Phone: (801) 855-0597
Type: Location
2877 W Center St
Provo, UT 846015727
Phone: (801) 899-1002
Type: Location
1393 E Pioneer Rd
Draper, UT 840209640
Phone: (385) 216-5147
Type: Location
316, East 400 North, Logan, Cache County, Utah, 84321, United States
LOGAN, UT 843214020
Phone: (801) 577-8678
Fax: (801) 206-7736
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: 2019-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-04-30 (40 days ago).
Enrollment records
1
Earliest due date
2026-04-30
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 |
|---|---|---|---|---|
| O20191217001943 | O | Clinic/Group Practice | UT | 2026-04-30 |
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 84042)
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