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DVORA HEALTHCARE LLC
NPI 1538023882
Internal Medicine - Geriatric Medicine in Sandy, UT

Active since December 11, 2025
8180 S 700 E STE 130, SANDY, UT 84070(801) 407-9409(801) 341-9794 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dvora Healthcare Llc NPPES

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

DVORA HEALTHCARE LLC (NPI 1538023882) is a healthcare organization registered as a geriatric medicine in Sandy, Utah and active in the NPI registry since December 2025. The organization lists Colby Haderlie, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1538023882
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameDVORA HEALTHCARE LLC
Location Address8180 S 700 E STE 130Sandy, UT 84070-0568
Mailing Address8180 S 700 E Ste 130Sandy, UT 84070-0568 · (801) 407-9409 · Fax (801) 341-9794
Phone(801) 407-9409
Fax(801) 341-9794
Organization SubpartNo
Authorized OfficialColby HaderlieOwner/authorized Official · (801) 407-9409
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
✔ NPI 1538023882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
8180 S 700 E STE 130, Sandy, UT 84070
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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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.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)

Dvora Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dvora Healthcare LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Rachael Stubbs, MD
Internal Medicine
NPI 1568489375
2981 JULIET WAY
Salt Lake City, UT 84121
(801) 860-2190
✔ PECOS4.6 mi
Kimberly Henne, APRN
Nurse Practitioner
NPI 1780248336
3750 DIGITAL DRIVE
Lehi, UT 84043
(775) 222-0042
✔ PECOS✔ Accepts Medicare14 mi
Desiree Eggett
Nurse Practitioner
NPI 1861247538
358 W CENTER ST
Orem, UT 84057
(801) 373-1400
✔ PECOS✔ Accepts Medicare25 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 Dvora Healthcare LLC's NPI number?

The NPI number for Dvora Healthcare LLC is 1538023882. It was assigned to this organization in the NPPES registry on December 11, 2025.

Where is Dvora Healthcare LLC located?

Dvora Healthcare LLC is located at 8180 S 700 E Ste 130, Sandy, UT 84070. The listed phone number is (801) 407-9409.

What is Dvora Healthcare LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Dvora Healthcare LLC enrolled in Medicare?

Yes. Dvora Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dvora Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dvora Healthcare LLC, in Internal Medicine and Nurse Practitioner. 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 Dvora Healthcare LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Dvora Healthcare 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 Dvora Healthcare LLC was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.