CANYON SURGICAL ASSOCIATES, LLC
NPI 1073534970
Specialist in Murray, UT
About Canyon Surgical Associates, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANYON SURGICAL ASSOCIATES, LLC (NPI 1073534970) is a healthcare organization registered as a specialist in Murray, Utah and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Willem P Vanderwerf, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Canyon Surgical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Canyon Surgical Associates, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Salt Lake City, UT 84107
Salt Lake City, UT 84107
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
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 46D2292842
Canyons Surgical Associates · Murray, 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 Canyon Surgical Associates, LLC's NPI number?
The NPI number for Canyon Surgical Associates, LLC is 1073534970. It was assigned to this organization in the NPPES registry on July 23, 2006.
Where is Canyon Surgical Associates, LLC located?
Canyon Surgical Associates, LLC is located at 5171 Cottonwood St Ste # 650, Murray, UT 84107. The listed phone number is (801) 507-9600.
What is Canyon Surgical Associates, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Canyon Surgical Associates, LLC enrolled in Medicare?
Yes. Canyon Surgical Associates, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Canyon Surgical Associates, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Canyon Surgical Associates, LLC. 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. The largest specialties are General Surgery (6) and Nurse Practitioner (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Canyon Surgical Associates, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2292842) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Canyon Surgical Associates, LLC accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Canyon Surgical Associates, LLC 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 Canyon Surgical Associates, LLC was last updated on January 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Canyon Surgical Associates, Llc · NPI 1073534970
Specialist organization in Murray, Utah. Organization record, active in the CMS NPPES registry since July 23, 2006.
## Identity
- **NPI:** 1073534970 (Entity type: Organization)
- **Enumerated:** July 23, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Willem Vanderwerf, OWNER
## Practice location
- **Address:** 5171 COTTONWOOD ST, STE # 650, Murray, UT 84107-5704
- **Phone:** (801) 507-9600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (6), Nurse Practitioner (1); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2010
- **Other identifiers:** Medicare PIN 000059437 (UT); Medicare PIN DF4260 (UT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073534970) · Data from the CMS NPPES public registry.