OBSTETRIX MEDICAL GROUP OF UTAH, PC
NPI 1457627507
Obstetrics & Gynecology - Maternal & Fetal Medicine in Salt Lake City, UT

Active since March 22, 2012
1140 E 3900 S, STE 390, SALT LAKE CITY, UT 84124(801) 743-4700(801) 743-4705 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Obstetrix Medical Group Of Utah, Pc NPPES

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

OBSTETRIX MEDICAL GROUP OF UTAH, PC (NPI 1457627507) is a healthcare organization registered as a maternal & fetal medicine in Salt Lake City, Utah and active in the NPI registry since March 2012. The organization lists Nanette Sanders, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1457627507
Entity TypeOrganization
Primary Taxonomy207VM0101X
Legal Business NameOBSTETRIX MEDICAL GROUP OF UTAH, PC
Location Address1140 E 3900 S, STE 390Salt Lake City, UT 84124-1228
Mailing Address1301 Concord TerSunrise, FL 33323-2843 · (800) 243-3839 · Fax (954) 858-0434
Fax(801) 743-4705
Organization SubpartNo
Authorized OfficialNanette SandersAssistant Secretary · (954) 384-0175
Enumeration DateMarch 22, 2012
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1457627507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
1140 E 3900 S, Salt Lake City, UT 84124

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)

Obstetrix Medical Group Of Utah, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Obstetrix Medical Group Of Utah, PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Obstetrics/Gynecology
NPI 1376930693
1140 E 3900 S STE 390
Salt Lake City, UT 84124
(801) 743-4700
✔ PECOS0.2 mi
Obstetrics/Gynecology
NPI 1467628263
30 N 1900 E RM 2B200
Salt Lake City, UT 84132
(919) 699-3972
✔ PECOS✔ Accepts Medicare6.1 mi
Obstetrics/Gynecology
NPI 1649596693
1200 E 3900 S
Salt Lake City, UT 84124
(801) 268-7111
✔ PECOS✔ Accepts Medicare8.4 mi
Maternal & Fetal Medicine
NPI 1336240449
3200 CHANNING WAY STE A102
Idaho Falls, ID 83404
(208) 528-2925
✔ PECOS✔ Accepts Medicare192 mi
Obstetrics/Gynecology
NPI 1164481156
1940 S COUNTRY CLUB DR SUITE 102
Mesa, AZ 85210
(680) 969-5999
✔ PECOS✔ Accepts Medicare504 mi
Nurse Practitioner
NPI 1851810303
100 NAVARRE PL STE 4410
South Bend, IN 46601
(574) 647-6370
✔ PECOS✔ Accepts Medicare1,332 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 Obstetrix Medical Group Of Utah, PC's NPI number?

The NPI number for Obstetrix Medical Group Of Utah, PC is 1457627507. It was assigned to this organization in the NPPES registry on March 22, 2012.

Where is Obstetrix Medical Group Of Utah, PC located?

Obstetrix Medical Group Of Utah, PC is located at 1140 E 3900 S Ste 390, Salt Lake City, UT 84124. The listed phone number is (801) 743-4700.

What is Obstetrix Medical Group Of Utah, PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Obstetrix Medical Group Of Utah, PC enrolled in Medicare?

Yes. Obstetrix Medical Group Of Utah, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Obstetrix Medical Group Of Utah, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Obstetrix Medical Group Of Utah, 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. The largest specialties are Obstetrics/Gynecology (4), Maternal & Fetal Medicine (1) and Nurse Practitioner (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Obstetrix Medical Group Of Utah, PC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Obstetrix Medical Group Of Utah, 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 Obstetrix Medical Group Of Utah, PC was last updated on October 23, 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.