RIVERSIDE MEDICAL ARTS
NPI 1114164365
Specialist in St George, UT

Q: What is Southern Utah Surgical And Laser Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 09, 2009CLIA 46D2018895 · Certificate of Compliance

1068 E RIVERSIDE DR, ST GEORGE, UT 84790(435) 628-6466(435) 628-3845 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 1, 2022, Dec 30, 2015 (2 updates tracked since 2015).

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About Riverside Medical Arts NPPES

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

RIVERSIDE MEDICAL ARTS (NPI 1114164365) is a healthcare organization registered as a specialist in St George, Utah and active in the NPI registry since January 2009. The organization holds a CLIA Certificate of Compliance certificate valid through July 10, 2027 and lists Benjamin Carter, Owner, as its authorized official.

NPPES Registry Identity

NPI1114164365

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHERN UTAH SURGICAL AND LASER AESTHETICS LLC

Location Address1068 E RIVERSIDE DRSt George, UT 84790-4477

Mailing Address1068 E Riverside DrSt George, UT 84790-4477 · (435) 628-6466

Phone(435) 628-6466

Fax(435) 628-3845

Organization SubpartNo

Authorized OfficialBenjamin CarterOwner · (435) 628-6466

Enumeration DateJanuary 9, 2009

Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2022

✔ NPI 1114164365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedDermatologyTaxonomy 207N00000X

1068 E RIVERSIDE DR, St George, UT 84790

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Other Names 1

Doing Business AsRiverside Medical Arts

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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)

Riverside Medical Arts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Riverside Medical Arts, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

April Larson, M.D.

Dermatology

NPI 1659446946

1068 E RIVERSIDE DR
St George, UT 84790

(435) 628-6466

✔ PECOSSame address

Benjamin Carter, M.D.

Dermatology

NPI 1093919912

1068 E RIVERSIDE DR
St George, UT 84790

(435) 628-6466

✔ PECOS✔ Accepts MedicareSame address

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 Compliance 46D2018895

Riverside Medical Arts · St George, UT

Active · expires Jul 10, 2027

CLIA Number46D2018895

Laboratory TypePhysician Office

Certificate Effective DateJuly 11, 2025

Certificate Expiration DateJuly 10, 2027

Laboratory DirectorBenjamin G. Carter MD

Laboratory Phone(435) 628-6466

Laboratory LocationRiverside Medical Arts1068 East Riverside Drive, St George, UT 84790

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Southern Utah Surgical And Laser Aesthetics LLC's NPI number?

The NPI number for Southern Utah Surgical And Laser Aesthetics LLC is 1114164365. It was assigned to this organization in the NPPES registry on January 9, 2009. The provider is doing business as Riverside Medical Arts.

Where is Southern Utah Surgical And Laser Aesthetics LLC located?

Southern Utah Surgical And Laser Aesthetics LLC is located at 1068 E Riverside Dr, St George, UT 84790. The listed phone number is (435) 628-6466.

What is Southern Utah Surgical And Laser Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Southern Utah Surgical And Laser Aesthetics LLC enrolled in Medicare?

Yes. Southern Utah Surgical And Laser Aesthetics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Utah Surgical And Laser Aesthetics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Southern Utah Surgical And Laser Aesthetics 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southern Utah Surgical And Laser Aesthetics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D2018895) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Utah Surgical And Laser Aesthetics LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Southern Utah Surgical And Laser Aesthetics 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 Southern Utah Surgical And Laser Aesthetics LLC was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.