MOUNTAIN RIDGE HEALTHCARE PLLC
NPI 1710695473
Family Medicine in Lehi, UT
About Mountain Ridge Healthcare Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN RIDGE HEALTHCARE PLLC (NPI 1710695473) is a healthcare organization registered as a family medicine in Lehi, Utah and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Chad Lloyd Roberts, Physician / Business Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Mountain Ridge Healthcare Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Ridge Healthcare PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 46D2289858
Mountain Ridge Healthcare PLLC · Lehi, 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 Mountain Ridge Healthcare PLLC's NPI number?
The NPI number for Mountain Ridge Healthcare PLLC is 1710695473. It was assigned to this organization in the NPPES registry on November 11, 2022.
Where is Mountain Ridge Healthcare PLLC located?
Mountain Ridge Healthcare PLLC is located at 2135 W Main St Ste B105, Lehi, UT 84043. The listed phone number is (801) 663-1296.
What is Mountain Ridge Healthcare PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mountain Ridge Healthcare PLLC enrolled in Medicare?
Yes. Mountain Ridge Healthcare PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountain Ridge Healthcare PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mountain Ridge Healthcare PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mountain Ridge Healthcare PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2289858) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mountain Ridge Healthcare PLLC accept?
Health plans from University of Utah Health Plans list Mountain Ridge Healthcare PLLC 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 Mountain Ridge Healthcare PLLC was last updated on November 15, 2022. 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.
# Mountain Ridge Healthcare Pllc · NPI 1710695473
Family Medicine organization in Lehi, Utah. Organization record, active in the CMS NPPES registry since November 11, 2022.
## Identity
- **NPI:** 1710695473 (Entity type: Organization)
- **Enumerated:** November 11, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Chad Roberts, PHYSICIAN / BUSINESS OWNER
## Practice location
- **Address:** 2135 W MAIN ST STE B105, Lehi, UT 84043-6936
- **Phone:** (801) 663-1296
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710695473) · Data from the CMS NPPES public registry.