JORDAN RIDGE FAMILY MEDICINE LLC
NPI 1306275227
Family Medicine in West Valley City, UT
About Jordan Ridge Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN RIDGE FAMILY MEDICINE LLC (NPI 1306275227) is a healthcare organization registered as a family medicine in West Valley City, Utah and active in the NPI registry since November 2013. The organization maintains a secondary practice location in Sandy and lists John Rhodes, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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)
Jordan Ridge Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Jordan Ridge Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (19)
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 Jordan Ridge Family Medicine LLC's NPI number?
The NPI number for Jordan Ridge Family Medicine LLC is 1306275227. It was assigned to this organization in the NPPES registry on November 2, 2013.
Where is Jordan Ridge Family Medicine LLC located?
Jordan Ridge Family Medicine LLC is located at 4071 S 4000 W, West Valley City, UT 84120. The listed phone number is (801) 515-7196.
What is Jordan Ridge Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jordan Ridge Family Medicine LLC enrolled in Medicare?
Yes. Jordan Ridge Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jordan Ridge Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to Jordan Ridge Family Medicine 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 Nurse Practitioner (11) and Family Practice (8). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jordan Ridge Family Medicine LLC was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jordan Ridge Family Medicine Llc · NPI 1306275227
Family Medicine organization in West Valley City, Utah. Organization record, active in the CMS NPPES registry since November 2, 2013.
## Identity
- **NPI:** 1306275227 (Entity type: Organization)
- **Enumerated:** November 2, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** John Rhodes, MD
## Practice location
- **Address:** 4071 S 4000 W, West Valley City, UT 84120-4143
- **Phone:** (801) 515-7196
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (8); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1306275227) · Data from the CMS NPPES public registry.