INTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC
NPI 1487764411
Clinic/Center - Medical Specialty in Salt Lake City, UT
About Intermountain Ear,nose, And Throat Specialists Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC (NPI 1487764411), doing business as Ear,nose And Throat Center Of Salt Lake City, is a healthcare organization registered as a medical specialty in Salt Lake City, Utah and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 2, 2028 and lists Evon Pefaur, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Intermountain Ear,nose, And Throat Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Intermountain Ear,nose, And Throat Specialists LLC, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 31Salt Lake City, UT 84102
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
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 of Waiver 46D2043484
Intermountain Ear, Nose & Throat Specialists · Draper, UTFrequently 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 Intermountain Ear,nose, And Throat Specialists LLC's NPI number?
The NPI number for Intermountain Ear,nose, And Throat Specialists LLC is 1487764411. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider was formerly known as Ear,nose And Throat Center Of Salt Lake City.
Where is Intermountain Ear,nose, And Throat Specialists LLC located?
Intermountain Ear,nose, And Throat Specialists LLC is located at 22 S 900 E, Salt Lake City, UT 84102. The listed phone number is (801) 328-2522.
What is Intermountain Ear,nose, And Throat Specialists LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Intermountain Ear,nose, And Throat Specialists LLC enrolled in Medicare?
Yes. Intermountain Ear,nose, And Throat Specialists LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intermountain Ear,nose, And Throat Specialists LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 5 Medicare specialties reassign their Medicare billing to Intermountain Ear,nose, And Throat Specialists 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 Otolaryngology (15), Qualified Audiologist (10) and Physical Therapist in Private Practice (3). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Intermountain Ear,nose, And Throat Specialists LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2043484) is associated with this NPI, valid through July 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Intermountain Ear,nose, And Throat Specialists LLC accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Intermountain Ear,nose, And Throat Specialists 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 Intermountain Ear,nose, And Throat Specialists LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Intermountain Ear,nose, And Throat Specialists Llc · NPI 1487764411
Medical Specialty organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1487764411 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Evon Pefaur, BILLING MANAGER
## Practice location
- **Address:** 22 S 900 E, Salt Lake City, UT 84102-1307
- **Phone:** (801) 328-2522 · **Fax:** (801) 924-2900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Otolaryngology (15), Qualified Audiologist (10), Physical Therapist in Private Practice (3); 12 practice within 10 miles; [full list](https://npiprofile.com/npi/1487764411/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1487764411) · Data from the CMS NPPES public registry.