GRANGER MEDICAL CLINIC - WASATCH
NPI 1629163746
Internal Medicine in Salt Lake City, UT
About Granger Medical Clinic - Wasatch NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANGER MEDICAL CLINIC - WASATCH (NPI 1629163746) is a healthcare organization registered as an internal medicine in Salt Lake City, Utah and active in the NPI registry since October 2006. The organization lists Anne M Whitaker, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Granger Medical Clinic - Wasatch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
190Medicare enrollment records show 190 clinicians reassign Medicare billing to Granger Medical Clinic - Wasatch, which bills Medicare for the services they deliver. Of these, 138 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 190Source: 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 Granger Medical Clinic, Inc.'s NPI number?
The NPI number for Granger Medical Clinic, Inc. is 1629163746. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Granger Medical Clinic - Wasatch.
Where is Granger Medical Clinic, Inc. located?
Granger Medical Clinic, Inc. is located at 1160 E 3900 S Suite 1000, Salt Lake City, UT 84124. The listed phone number is (801) 262-1771.
What is Granger Medical Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Granger Medical Clinic, Inc. enrolled in Medicare?
Yes. Granger Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Granger Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 190 clinicians in 32 Medicare specialties reassign their Medicare billing to Granger Medical Clinic, 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 (38), Family Practice (34) and Urology (17). Of these, 138 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Granger Medical Clinic, Inc. was last updated on August 16, 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.
# Granger Medical Clinic - Wasatch · NPI 1629163746
Internal Medicine organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1629163746 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Granger Medical Clinic, Inc.
- **Organization subpart:** Yes (part of Granger Medical Clinic, Inc.)
- **Authorized official:** Anne Whitaker, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 1160 E 3900 S, SUITE 1000, Salt Lake City, UT 84124-1202
- **Phone:** (801) 262-1771 · **Fax:** (801) 288-9101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 190 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (34), Urology (17); 138 practice within 10 miles; [full list](https://npiprofile.com/npi/1629163746/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2016
- **Other identifiers:** Medicare PIN 000055217 (UT); Medicare PIN 000004880 (UT); Other 870526286 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1629163746) · Data from the CMS NPPES public registry.