UTAH GASTROENTEROLOGY
NPI 1124837646
Internal Medicine - Gastroenterology in Sandy, UT
About Utah Gastroenterology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UTAH GASTROENTEROLOGY (NPI 1124837646) is a healthcare organization registered as a gastroenterology in Sandy, Utah and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Christine Morris Gabrenas, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Utah Gastroenterology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
79Medicare enrollment records show 79 clinicians reassign Medicare billing to Utah Gastroenterology, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 79Sandy, UT 84094
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 46D2328330
Utah Gastroenterology Dba Granite Peaks Gastroenterlogy · 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 Utah Gastroenterology's NPI number?
The NPI number for Utah Gastroenterology is 1124837646. It was assigned to this organization in the NPPES registry on December 31, 2024.
Where is Utah Gastroenterology located?
Utah Gastroenterology is located at 10150 S Petunia Way Ste B, Sandy, UT 84092. The listed phone number is (801) 619-9000.
What is Utah Gastroenterology's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Utah Gastroenterology enrolled in Medicare?
Yes. Utah Gastroenterology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Utah Gastroenterology?
According to the CMS Revalidation Reassignment List (October 2026 release), 79 clinicians in 4 Medicare specialties reassign their Medicare billing to Utah Gastroenterology. 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 Certified Registered Nurse Anesthetist (CRNA) (38), Gastroenterology (31) and Nurse Practitioner (7). Of these, 3 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Utah Gastroenterology hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2328330) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Utah Gastroenterology was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Utah Gastroenterology · NPI 1124837646
Gastroenterology organization in Sandy, Utah. Organization record, active in the CMS NPPES registry since December 31, 2024.
## Identity
- **NPI:** 1124837646 (Entity type: Organization)
- **Enumerated:** December 31, 2024
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Christine Morris Gabrenas, ADMINISTRATOR
## Practice location
- **Address:** 10150 S PETUNIA WAY STE B, Sandy, UT 84092-4328
- **Phone:** (801) 619-9000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 79 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (38), Gastroenterology (31), Nurse Practitioner (7); 3 practice at this address and 31 within 10 miles; [full list](https://npiprofile.com/npi/1124837646/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124837646) · Data from the CMS NPPES public registry.