TOOELE UROLOGY LLC
NPI 1457599912
Clinic/Center - Medical Specialty in South Jordan, UT
About Tooele Urology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TOOELE UROLOGY LLC (NPI 1457599912) is a healthcare organization registered as a medical specialty in South Jordan, Utah and active in the NPI registry since January 2009. The organization lists Dan Hibbert, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Tooele Urology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Tooele Urology LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 Tooele Urology LLC's NPI number?
The NPI number for Tooele Urology LLC is 1457599912. It was assigned to this organization in the NPPES registry on January 21, 2009.
Where is Tooele Urology LLC located?
Tooele Urology LLC is located at 11179 Ivy Creek Cv, South Jordan, UT 84095. The listed phone number is (801) 822-2727.
What is Tooele Urology LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Tooele Urology LLC enrolled in Medicare?
Yes. Tooele Urology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tooele Urology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Urology, reassign their Medicare billing to Tooele Urology 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tooele Urology LLC accept?
Health plans from University of Utah Health Plans list Tooele Urology 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 Tooele Urology LLC was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tooele Urology Llc · NPI 1457599912
Medical Specialty organization in South Jordan, Utah. Organization record, active in the CMS NPPES registry since January 21, 2009.
## Identity
- **NPI:** 1457599912 (Entity type: Organization)
- **Enumerated:** January 21, 2009
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** Yes (part of Urologic Surgery Associates)
- **Authorized official:** Dan Hibbert, MANAGER
## Practice location
- **Address:** 11179 IVY CREEK CV, South Jordan, UT 84095-2249
- **Phone:** (801) 822-2727
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Urology) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1457599912) · Data from the CMS NPPES public registry.