COPPERVIEW MEDICAL CENTER, LLC
NPI 1316970924
Family Medicine in South Jordan, UT

Active since July 08, 2006CLIA Certified · 2 labs
3556 W 9800 S STE 101, SOUTH JORDAN, UT 84095(801) 567-9780(801) 567-9826 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Copperview Medical Center, Llc NPPES

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

COPPERVIEW MEDICAL CENTER, LLC (NPI 1316970924) is a healthcare organization registered as a family medicine in South Jordan, Utah and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Riverton, and lists Paul Lei, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1316970924
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOPPERVIEW MEDICAL CENTER, LLC
Location Address3556 W 9800 S STE 101South Jordan, UT 84095-3221
Mailing Address3556 W 9800 S Ste 101South Jordan, UT 84095-3221
Fax(801) 567-9826
Organization SubpartNo
Authorized OfficialPaul LeiAuthorized Official · (801) 260-1919
Enumeration DateJuly 8, 2006
Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1316970924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
3556 W 9800 S STE 101, South Jordan, UT 84095

Secondary Practice Location 1

Location 112842 S 3600 W Ste 102Riverton, UT 84065-6853 · Phone (801) 567-9780 · Fax (801) 567-9826

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Copperview Medical Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Copperview Medical Center, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 13 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner12
Internal Medicine3
Hospitalist1
Pediatric Medicine1

Clinicians, nearest first (17)

Nurse Practitioner
NPI 1013721687
3556 W 9800 S STE 101
South Jordan, UT 84095
(801) 567-9780
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1821054842
3556 W 9800 S #101
South Jordan, UT 84095
(801) 567-9750
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841257896
3556 W 9800 S #101
South Jordan, UT 84095
(801) 567-9750
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063478436
3556 W 9800 S #101
South Jordan, UT 84095
(801) 567-9750
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962367433
3556 W 9800 S
South Jordan, UT 84095
(801) 567-9780
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1366767147
3556 W 9800 S STE 101
South Jordan, UT 84095
(801) 567-9780
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1275173585
3556 W 9800 S STE 101
South Jordan, UT 84095
(801) 567-9780
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1629695341
3556 W 9800 S STE 101
South Jordan, UT 84095
(801) 567-9780
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1265606735
3556 W 9800 S SUITE 101
South Jordan, UT 84095
(801) 567-9780
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1245440478
3556 W 9800 S SUITE 101
South Jordan, UT 84095
(801) 567-9780
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1518561950
3556 W 9800 S STE 10
South Jordan, UT 84095
(801) 567-9780
✔ PECOS✔ Accepts Medicare0.6 mi
Internal Medicine
NPI 1104117381
3556 W 9800 S SUITE 101
South Jordan, UT 84095
(801) 567-9780
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1043981160
5121 S COTTONWOOD ST
Murray, UT 84107
(385) 887-6000
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1548994288
3665 S 8400 W STE 110
Magna, UT 84044
(801) 250-9638
✔ PECOS✔ Accepts Medicare11 mi
Hospitalist
NPI 1730600651
1034 N 500 W
Provo, UT 84604
(801) 357-8310
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1770355851
1600 DELTA WATERS RD STE 107
Medford, OR 97504
(541) 858-2515
✔ PECOS✔ Accepts Medicare578 mi
Nurse Practitioner
NPI 1427667765
431 MEADOWLARK ST
Shaw Afb, SC 29152
(803) 895-2273
✔ PECOS1,783 mi

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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 46D0989936

Copperview Medical Center · S Jordan, UT
Active · expires Jul 21, 2028
CLIA Number46D0989936
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorMartin A. Hollingsworth MD
Laboratory Phone(801) 567-9780
Laboratory LocationCopperview Medical Center3556 W 9800 S #101, S Jordan, UT 84095
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 46D2276088

Copperview Medical Center Riverton · Riverton, UT
Active · expires Feb 1, 2027
CLIA Number46D2276088
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorMartin Hollingsworth
Laboratory Phone(801) 567-9780
Laboratory LocationCopperview Medical Center Riverton12842 S 3600 W, Ste 201, Riverton, UT 84065
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Copperview Medical Center, LLC's NPI number?

The NPI number for Copperview Medical Center, LLC is 1316970924. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Copperview Medical Center, LLC located?

Copperview Medical Center, LLC is located at 3556 W 9800 S Ste 101, South Jordan, UT 84095. The listed phone number is (801) 567-9780.

What is Copperview Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Copperview Medical Center, LLC enrolled in Medicare?

Yes. Copperview Medical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Copperview Medical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Copperview Medical Center, 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 (12), Internal Medicine (3) and Hospitalist (1). Of these, 4 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Copperview Medical Center, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Copperview Medical Center, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Molina Healthcare and 1 other insurer list Copperview Medical Center, 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 Copperview Medical Center, LLC was last updated on March 17, 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.