PHYSICIAN GROUP OF UTAH INC
NPI 1477676930
Specialist in South Jordan, UT

Q: What is Physician Group Of Utah Inc's NPI number?

The NPI number for Physician Group Of Utah Inc is 1477676930. It was assigned to this organization in the NPPES registry on April 9, 2007.

Q: What is Physician Group Of Utah Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 09, 2007

406 W SOUTH JORDAN PKWY, SUITE 500, SOUTH JORDAN, UT 84095(801) 984-3418(801) 984-3479 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Physician Group Of Utah Inc NPPES

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

PHYSICIAN GROUP OF UTAH INC (NPI 1477676930) is a healthcare organization registered as a specialist in South Jordan, Utah and active in the NPI registry since April 2007. The organization lists Ashley Koch, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477676930

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePHYSICIAN GROUP OF UTAH INC

Location Address406 W SOUTH JORDAN PKWY, SUITE 500South Jordan, UT 84095-3965

Mailing AddressPo Box 281415Atlanta, GA 30384-1415 · (800) 673-1270 · Fax (314) 432-9683

Phone(801) 984-3418

Fax(801) 984-3479

Organization SubpartNo

Authorized OfficialAshley KochCfo · (617) 562-7070

Enumeration DateApril 9, 2007

Last NPPES UpdateMarch 6, 2020

NPPES CertifiedMarch 6, 2020

✔ NPI 1477676930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

406 W SOUTH JORDAN PKWY, South Jordan, UT 84095

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Other Identifiers 1

Medicaid1477676930UT

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physician Group Of Utah Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

254

Medicare enrollment records show 254 clinicians reassign Medicare billing to Physician Group Of Utah Inc, which bills Medicare for the services they deliver. Of these, 69 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 37

Nurse Practitioner54

Orthopedic Surgery29

Internal Medicine27

Obstetrics/Gynecology20

Family Practice16

General Surgery13

Psychiatry10

Certified Nurse Midwife (CNM)9

29 other specialties76

Nearest to this location (20)

See all 254

Scott Robins, DO

Family Practice

NPI 1346495678

3741 W 12600 S STE 220
Riverton, UT 84065

(801) 285-2290

✔ PECOS✔ Accepts Medicare1.1 mi

Geoffrey Osmond, NP

Nurse Practitioner

NPI 1053994434

11760 S 700 E STE 112
Draper, UT 84020

(801) 572-1186

✔ PECOS✔ Accepts Medicare1.6 mi

Spencer Amundsen, M.D.

Orthopedic Surgery

NPI 1841517257

96 E KIMBALLS LN STE 207
Draper, UT 84020

(801) 576-2300

✔ PECOS✔ Accepts Medicare1.8 mi

Justin Atherton, DO

General Surgery

NPI 1386876167

96 E KIMBALLS LN STE 306
Draper, UT 84020

(801) 999-2432

✔ PECOS✔ Accepts Medicare1.8 mi

Charles Beck, M.D.

Orthopedic Surgery

NPI 1528124815

96 E KIMBALLS LN STE 207
Draper, UT 84020

(801) 576-2300

✔ PECOS1.8 mi

Benjamin Eliason, MD

Psychiatry

NPI 1659418267

1654 W REUNION AVE STE 10B
South Jordan, UT 84095

(801) 349-2480

✔ PECOS✔ Accepts Medicare1.9 mi

Barclay Bigelow, M.D.

Internal Medicine

NPI 1588617542

880 E 9400 S SUITE 105
Sandy, UT 84094

(801) 571-7494

✔ PECOS✔ Accepts Medicare2.5 mi

James Stewart, M.D

Internal Medicine

NPI 1104022557

1393 E SEGO LILY DR
Sandy, UT 84092

(801) 619-9000

✔ PECOS✔ Accepts Medicare2.9 mi

Joseph Fyans, M.D.

Physical Medicine and Rehabilitation

NPI 1447431317

9450 S 1300 E SUITE 120
Sandy, UT 84094

(801) 294-6907

✔ PECOS✔ Accepts Medicare3.2 mi

Grant Hawkins, MD

Internal Medicine

NPI 1255341806

9844 S 1300 E #200
Sandy, UT 84094

(801) 572-1472

✔ PECOS✔ Accepts Medicare3.2 mi

Garrett Bird, MD, CM

Sleep Medicine

NPI 1164638573

4063 W 12600 S # SABS
Riverton, UT 84096

(801) 935-8180

✔ PECOS✔ Accepts Medicare3.2 mi

Jonathan Neilson, DNP

Nurse Practitioner

NPI 1780236109

12391 S 4000 W
Riverton, UT 84096

(801) 302-1700

✔ PECOS3.2 mi

Ryan Murphy, M.D.

Anesthesiology

NPI 1235211103

10817 S SUMMER LAND CV
South Jordan, UT 84095

(801) 703-0014

✔ PECOS✔ Accepts Medicare3.2 mi

Gregory Hammond, MD

Pulmonary Disease

NPI 1942374020

613 E FORT UNION SUITE #A102
Midvale, UT 84047

(801) 294-9333

✔ PECOS✔ Accepts Medicare3.6 mi

Catherine Beck, MD

General Surgery

NPI 1922267459

3181 W 9000 S
West Jordan, UT 84088

(801) 965-3600

✔ PECOS✔ Accepts Medicare3.8 mi

David Massinople, M.D.

Cardiovascular Disease (Cardiology)

NPI 1255541785

3570 W 9000 S STE 110
West Jordan, UT 84088

(801) 263-2370

✔ PECOS✔ Accepts Medicare3.8 mi

Gregory Anderson, DPM

Podiatry

NPI 1992797492

6322 S 3000 E STE 100
Salt Lake City, UT 84121

(801) 352-5900

✔ PECOS✔ Accepts Medicare4.0 mi

Haley Summerhays, CNM, WHNP

Certified Nurse Midwife (CNM)

NPI 1275842783

3723 W 12600 S STE 270
Riverton, UT 84065

(801) 285-4600

✔ PECOS✔ Accepts Medicare4.2 mi

Wesley Deans

Neurology

NPI 1104212877

3590 W 9000 S STE 240
West Jordan, UT 84088

(801) 964-3000

✔ PECOS✔ Accepts Medicare4.3 mi

Randall Watson, M.D.

Family Practice

NPI 1952341000

1575 W 7000 S
West Jordan, UT 84084

(801) 569-9133

✔ PECOS4.7 mi

See all 254 clinicians

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 Physician Group Of Utah Inc's NPI number?

The NPI number for Physician Group Of Utah Inc is 1477676930. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Physician Group Of Utah Inc located?

Physician Group Of Utah Inc is located at 406 W South Jordan Pkwy Suite 500, South Jordan, UT 84095. The listed phone number is (801) 984-3418.

What is Physician Group Of Utah Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Physician Group Of Utah Inc enrolled in Medicare?

Yes. Physician Group Of Utah Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physician Group Of Utah Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 254 clinicians in 37 Medicare specialties reassign their Medicare billing to Physician Group Of Utah Inc. 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 (54), Orthopedic Surgery (29) and Internal Medicine (27). Of these, 69 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 Physician Group Of Utah Inc was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.