SOUTHERN UTAH KIDNEY AND HYPERTENSION
NPI 1134588957
Internal Medicine - Nephrology in St George, UT

Active since February 22, 2016
624 S 1000 E STE 103, ST GEORGE, UT 84790(435) 652-1135(435) 652-1190 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2024, Feb 28, 2023, Apr 3, 2020 and 2 more (5 updates tracked since 2016).

About Southern Utah Kidney And Hypertension NPPES

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

SOUTHERN UTAH KIDNEY AND HYPERTENSION (NPI 1134588957) is a healthcare organization registered as a nephrology in St George, Utah and active in the NPI registry since February 2016. The organization maintains a secondary practice location in Cedar City and lists Ryan Valle, President, as its authorized official.

NPPES Registry Identity

NPI1134588957
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameST GEORGE KIDNEY CARE LLC
Location Address624 S 1000 E STE 103St George, UT 84790-5902
Mailing Address624 S 1000 E Ste 103St George, UT 84790-5902 · (435) 652-1135 · Fax (435) 652-1190
Fax(435) 652-1190
Organization SubpartNo
Authorized OfficialRyan VallePresident · (781) 699-9362
Enumeration DateFebruary 22, 2016
Last NPPES UpdateJuly 24, 20245 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1134588957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
624 S 1000 E STE 103, St George, UT 84790

Other Names 1

Doing Business AsSouthern Utah Kidney And Hypertension

Secondary Practice Location 1

Location 11320 N Main St Ste 103Cedar City, UT 84721-1230 · Phone (435) 652-1135 · Fax (435) 652-1190

Other Identifiers 1

Medicaid3001772UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Southern Utah Kidney And Hypertension is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Southern Utah Kidney And Hypertension, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1578879441
624 S 1000 E STE 103
St George, UT 84790
(435) 652-1135
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1932131869
624 S 1000 E STE 103
St George, UT 84790
(435) 652-1135
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1366444051
624 S 1000 E STE 103
St George, UT 84790
(435) 652-1135
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1235423518
624 S 1000 E STE 103
St George, UT 84790
(435) 652-1135
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1962992941
1490 E FOREMASTER DR STE 350
St George, UT 84790
(435) 251-5980
✔ PECOS✔ Accepts Medicare0.6 mi
Nephrology
NPI 1235348897
12523 S CREEK MEADOW RD STE 111
Riverton, UT 84065
(801) 288-2634
✔ PECOS✔ Accepts Medicare251 mi
Nephrology
NPI 1306806963
3702 S STATE ST STE 107
South Salt Lake, UT 84115
(801) 288-2634
✔ PECOS✔ Accepts Medicare264 mi
Nephrology
NPI 1174930051
3702 S STATE ST STE 107
South Salt Lake, UT 84115
(801) 288-2634
✔ PECOS✔ Accepts Medicare264 mi
Nephrology
NPI 1629501051
3702 S STATE ST STE 107
South Salt Lake, UT 84115
(801) 288-2634
✔ PECOS✔ Accepts Medicare264 mi

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

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 St George Kidney Care LLC's NPI number?

The NPI number for St George Kidney Care LLC is 1134588957. It was assigned to this organization in the NPPES registry on February 22, 2016. The provider is doing business as Southern Utah Kidney And Hypertension.

Where is St George Kidney Care LLC located?

St George Kidney Care LLC is located at 624 S 1000 E Ste 103, St George, UT 84790. The listed phone number is (435) 652-1135.

What is St George Kidney Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is St George Kidney Care LLC enrolled in Medicare?

Yes. St George Kidney Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St George Kidney Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to St George Kidney Care 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 Nephrology (8) and Nurse Practitioner (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St George Kidney Care LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Molina Healthcare and University of Utah Health Plans list St George Kidney Care 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 St George Kidney Care LLC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.