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DR. TAUAINA JAMES NGATUVAI M.D.
NPI 1003992470
Family Medicine in Lehi, UT

Active since October 28, 2006PECOS EnrolledAccepts Medicare Assignment
680 E. MAIN ST., LEHI, UT 84043(801) 768-1699(801) 768-4526 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tauaina James Ngatuvai M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TAUAINA JAMES NGATUVAI M.D. (NPI 1003992470) is an individual family medicine provider in Lehi, Utah, licensed in Utah (62633341205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with American Fork Hospital, and is a graduate of University Of Utah School Of Medicine (1998).

NPPES Registry Identity

NPI1003992470
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TAUAINA JAMES NGATUVAICredential: M.D.
Location Address680 E. MAIN ST.Lehi, UT 84043-2241
Mailing Address226 N. 1100 E., Ste. AAmerican Fork, UT 84003-2054 · (801) 855-3844 · Fax (801) 855-3854
Phone(801) 768-1699
Fax(801) 768-4526
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1998
Enumeration DateOctober 28, 2006
Last NPPES UpdateJanuary 15, 2015
✔ NPI 1003992470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in UT · 62633341205✔ Licensed in UT · 6263334-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 62633341205 (UT)
680 E. MAIN ST., Lehi, UT 84043
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Other Identifiers 1

Medicare PIN000063445UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tauaina James Ngatuvai M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436151271
PECOS Enrollment IDI20070208000085
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tauaina Ngatuvai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Family Medical - Lehi
1.1 mi
Family Medicine
680 E MAIN ST
Lehi, UT 84043
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Premier Family Medical
  • 83 clinicians in this Medicare group
NPI 1568806545 (801) 768-1699

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
171 services94 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
85 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services59 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
62 services62 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
31 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$847.80 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers11 claims11 services$45.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tauaina Ngatuvai's NPI number?

The NPI number for Tauaina Ngatuvai is 1003992470. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Tauaina Ngatuvai located?

Tauaina Ngatuvai practices at 680 E. Main St., Lehi, UT 84043. The listed phone number is (801) 768-1699.

What is Tauaina Ngatuvai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tauaina Ngatuvai enrolled in Medicare?

Yes. Tauaina Ngatuvai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tauaina Ngatuvai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tauaina Ngatuvai reassigns Medicare benefits to Premier Family Medical - Lehi (Lehi, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tauaina Ngatuvai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tauaina Ngatuvai accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Tauaina Ngatuvai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tauaina Ngatuvai affiliated with any hospitals?

According to CMS data, Tauaina Ngatuvai is affiliated with American Fork Hospital.

When was this NPI record last updated?

The NPPES record for Tauaina Ngatuvai was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.