MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY - ST MARKS LLC
NPI 1578859831
Neurological Surgery in Salt Lake City, UT

Active since June 24, 2011
1220 E 3900 S, STE. 4-E, SALT LAKE CITY, UT 84124(801) 261-8507(801) 261-8507 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 29, 2023, Jan 2, 2023, Oct 28, 2020 (3 updates tracked since 2020).

About Mountainstar Medical Group Neurosurgery - St Marks Llc NPPES

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

MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY - ST MARKS LLC (NPI 1578859831) is a healthcare organization registered as a neurological surgery in Salt Lake City, Utah and active in the NPI registry since June 2011. The organization lists Louis Joseph, Vp, as its authorized official.

NPPES Registry Identity

NPI1578859831
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameMOUNTAINSTAR MEDICAL GROUP NEUROSURGERY - ST MARKS LLC
Location Address1220 E 3900 S, STE. 4-ESalt Lake City, UT 84124-1377
Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7406 · Fax (866) 346-1426
Fax(801) 261-8507
Organization SubpartNo
Authorized OfficialLouis JosephVp · (615) 373-7630
Enumeration DateJune 24, 2011
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1578859831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1220 E 3900 S, Salt Lake City, UT 84124

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountainstar Medical Group Neurosurgery - St Marks Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mountainstar Medical Group Neurosurgery - St Marks LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1366964728
1220 E 3900 S STE 1F
Salt Lake City, UT 84124
(801) 262-5711
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1740797257
1200 E 3900 S
Salt Lake City, UT 84124
(801) 268-7111
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1316702806
1200 E 3900 S
Salt Lake City, UT 84124
(801) 268-7111
✔ PECOS✔ Accepts Medicare5.4 mi
Nurse Practitioner
NPI 1104370436
691 E 400 N, STE. 110
Vineyard, UT 84058
(385) 203-0246
✔ PECOS✔ Accepts Medicare29 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 Mountainstar Medical Group Neurosurgery - St Marks LLC's NPI number?

The NPI number for Mountainstar Medical Group Neurosurgery - St Marks LLC is 1578859831. It was assigned to this organization in the NPPES registry on June 24, 2011.

Where is Mountainstar Medical Group Neurosurgery - St Marks LLC located?

Mountainstar Medical Group Neurosurgery - St Marks LLC is located at 1220 E 3900 S Ste. 4-E, Salt Lake City, UT 84124. The listed phone number is (801) 261-8507.

What is Mountainstar Medical Group Neurosurgery - St Marks LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Mountainstar Medical Group Neurosurgery - St Marks LLC enrolled in Medicare?

Yes. Mountainstar Medical Group Neurosurgery - St Marks LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountainstar Medical Group Neurosurgery - St Marks LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Mountainstar Medical Group Neurosurgery - St Marks 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountainstar Medical Group Neurosurgery - St Marks LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Mountainstar Medical Group Neurosurgery - St Marks 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 Mountainstar Medical Group Neurosurgery - St Marks LLC was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.