SOUTHRIDGE CLINIC PEDIATRICS
NPI 1518108166
Pediatrics in Riverton, UT
About Southridge Clinic Pediatrics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHRIDGE CLINIC PEDIATRICS (NPI 1518108166) is a healthcare organization registered as a pediatrics in Riverton, Utah and active in the NPI registry since March 2009. The organization holds 2 active CLIA laboratory certificates and lists Linda C Leckman, Ceo Intermountain Medical Group, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southridge Clinic Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3,683Medicare enrollment records show 3,683 clinicians reassign Medicare billing to Southridge Clinic Pediatrics, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 338 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 68
Nearest to this location (20)
See all 3,683Source: 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 2
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 for Provider-Performed Microscopy Procedures (PPMP) 46D2301785
Southridge Clinics · Riverton, UTCertificate of Compliance 46D1047127
Southridge Clinic - Instacare/Kidscare · Riverton, 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 Ihc Health Services Inc's NPI number?
The NPI number for Ihc Health Services Inc is 1518108166. It was assigned to this organization in the NPPES registry on March 11, 2009. The provider is doing business as Southridge Clinic Pediatrics.
Where is Ihc Health Services Inc located?
Ihc Health Services Inc is located at 3723 W 12600 S Ste 330, Riverton, UT 84065. The listed phone number is (801) 285-4543.
What is Ihc Health Services Inc's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ihc Health Services Inc enrolled in Medicare?
Yes. Ihc Health Services Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ihc Health Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3,683 clinicians in 68 Medicare specialties reassign their Medicare billing to Ihc Health Services 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 (813), Family Practice (484) and Internal Medicine (246). Of these, 17 practice at this address and 338 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ihc Health Services Inc hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Ihc Health Services Inc was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Southridge Clinic Pediatrics · NPI 1518108166
Pediatrics organization in Riverton, Utah. Organization record, active in the CMS NPPES registry since March 11, 2009.
## Identity
- **NPI:** 1518108166 (Entity type: Organization)
- **Enumerated:** March 11, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Ihc Health Services Inc
- **Organization subpart:** No
- **Authorized official:** Linda Leckman, CEO INTERMOUNTAIN MEDICAL GROUP
## Practice location
- **Address:** 3723 W 12600 S, STE 330, Riverton, UT 84065-7296
- **Phone:** (801) 285-4543
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3,683 clinicians in 68 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (813), Family Practice (484), Internal Medicine (246); 17 practice at this address and 338 within 10 miles; [full list](https://npiprofile.com/npi/1518108166/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2016
- **Other identifiers:** Medicare UPIN 000055456 (UT)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1518108166) · Data from the CMS NPPES public registry.