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DESERAE J GOBLE MD PC
NPI 1407232903
Family Medicine in Logan, UT

Active since August 06, 2015
1451 N 200 E STE 250, LOGAN, UT 84341(435) 363-7853(435) 213-3785 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2016, Sep 22, 2016 (2 updates tracked since 2016).

About Deserae J Goble Md Pc NPPES

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

DESERAE J GOBLE MD PC (NPI 1407232903) is a healthcare organization registered as a family medicine in Logan, Utah and active in the NPI registry since August 2015. The organization lists Deserae Goble, Owner, as its authorized official.

NPPES Registry Identity

NPI1407232903
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDESERAE J GOBLE MD PC
Location Address1451 N 200 E STE 250Logan, UT 84341-7570
Mailing AddressPo Box 5Millville, UT 84326-0005 · (435) 232-4279 · Fax (888) 668-5207
Phone(435) 363-7853
Fax(435) 213-3785
Organization SubpartNo
Authorized OfficialDeserae GobleOwner · (435) 363-7853
Enumeration DateAugust 6, 2015
Last NPPES UpdateAugust 31, 20212 updates tracked since enumeration
NPPES CertifiedAugust 31, 2021
✔ NPI 1407232903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 5010200-1205
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.
1451 N 200 E STE 250, Logan, UT 84341
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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)

Deserae J Goble Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deserae J Goble MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deserae Goble, MD
Family Practice
NPI 1366415770
1451 N 200 E STE 250
Logan, UT 84341
(435) 363-7853
✔ 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.

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 Deserae J Goble MD PC's NPI number?

The NPI number for Deserae J Goble MD PC is 1407232903. It was assigned to this organization in the NPPES registry on August 6, 2015.

Where is Deserae J Goble MD PC located?

Deserae J Goble MD PC is located at 1451 N 200 E Ste 250, Logan, UT 84341. The listed phone number is (435) 363-7853.

What is Deserae J Goble MD PC's specialty?

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

Is Deserae J Goble MD PC enrolled in Medicare?

Yes. Deserae J Goble MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deserae J Goble MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Deserae J Goble MD PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deserae J Goble MD PC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Deserae J Goble MD PC 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 Deserae J Goble MD PC was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.