ALTA PAIN PHYSICIANS, PLLC
NPI 1063721850
Pain Medicine - Interventional Pain Medicine in Sandy, UT
About Alta Pain Physicians, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTA PAIN PHYSICIANS, PLLC (NPI 1063721850) is a healthcare organization registered as an interventional pain medicine in Sandy, Utah and active in the NPI registry since September 2010. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Bountiful, and lists Micheal Chen, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alta Pain Physicians, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Alta Pain Physicians, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D2337766
Alta Pain Physicians PLLC · Bountiful, UTCertificate of Waiver 46D2015635
Alta Pain Physicians · Sandy, UTFrequently 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 Alta Pain Physicians, PLLC's NPI number?
The NPI number for Alta Pain Physicians, PLLC is 1063721850. It was assigned to this organization in the NPPES registry on September 28, 2010.
Where is Alta Pain Physicians, PLLC located?
Alta Pain Physicians, PLLC is located at 11449 S 1000 E Ste 102, Sandy, UT 84094. The listed phone number is (801) 462-2205.
What is Alta Pain Physicians, PLLC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Alta Pain Physicians, PLLC enrolled in Medicare?
Yes. Alta Pain Physicians, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alta Pain Physicians, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Alta Pain Physicians, PLLC, in Clinical Psychologist, Pain Management and Physical Medicine and Rehabilitation. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Alta Pain Physicians, PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Alta Pain Physicians, PLLC accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Alta Pain Physicians, PLLC 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.
When was this NPI record last updated?
The NPPES record for Alta Pain Physicians, PLLC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Alta Pain Physicians, Pllc · NPI 1063721850
Interventional Pain Medicine organization in Sandy, Utah. Organization record, active in the CMS NPPES registry since September 28, 2010.
## Identity
- **NPI:** 1063721850 (Entity type: Organization)
- **Enumerated:** September 28, 2010
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Micheal Chen, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 11449 S 1000 E STE 102, Sandy, UT 84094-5584
- **Phone:** (801) 462-2205 · **Fax:** (801) 326-4675
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (1), Pain Management (1), Physical Medicine and Rehabilitation (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 3, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063721850) · Data from the CMS NPPES public registry.