TIMPANOGOS FAMILY MEDICINE, LLC
NPI 1568517894
Clinic/Center - Family Planning, Non-Surgical in Orem, UT
About Timpanogos Family Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMPANOGOS FAMILY MEDICINE, LLC (NPI 1568517894) is a healthcare organization registered as a family planning, non-surgical in Orem, Utah and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Donald Neal Harline, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timpanogos Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Timpanogos Family Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 46D0979491
Timpanogos Family Medicine · Orem, 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 Timpanogos Family Medicine, LLC's NPI number?
The NPI number for Timpanogos Family Medicine, LLC is 1568517894. It was assigned to this organization in the NPPES registry on January 25, 2007.
Where is Timpanogos Family Medicine, LLC located?
Timpanogos Family Medicine, LLC is located at 423 N Orem Blvd, Orem, UT 84057. The listed phone number is (801) 426-8141.
What is Timpanogos Family Medicine, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Family Planning, Non-Surgical, with taxonomy code 261QF0050X.
Is Timpanogos Family Medicine, LLC enrolled in Medicare?
Yes. Timpanogos Family Medicine, LLC is registered in the Medicare PECOS enrollment system.
When is Timpanogos Family Medicine, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Timpanogos Family Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Timpanogos Family Medicine, LLC, in Family Practice 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Timpanogos Family Medicine, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D0979491) is associated with this NPI, valid through July 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Timpanogos Family Medicine, LLC was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Timpanogos Family Medicine, Llc · NPI 1568517894
Family Planning, Non-Surgical organization in Orem, Utah. Organization record, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1568517894 (Entity type: Organization)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Clinic/Center - Family Planning, Non-Surgical · taxonomy 261QF0050X
- **Organization subpart:** No
- **Authorized official:** Donald Harline, MEDICAL DOCTOR
## Practice location
- **Address:** 423 N OREM BLVD, Orem, UT 84057-8813
- **Phone:** (801) 426-8141 · **Fax:** (801) 426-8142
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Utah, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2017
- **Other identifiers:** Other 107008924101 (UT); Other 46D0979491 (UT); Medicare UPIN H24364 (UT); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1568517894) · Data from the CMS NPPES public registry.