UTAH VALLEY DERMATOLOGY
NPI 1770099251
Dermatology in Provo, UT

Active since December 20, 2017
395 W COUGAR BLVD STE 604, PROVO, UT 84604(801) 371-6464 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2021, Apr 30, 2018, Dec 20, 2017 (3 updates tracked since 2017).

About Utah Valley Dermatology NPPES

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

UTAH VALLEY DERMATOLOGY (NPI 1770099251) is a healthcare organization registered as a dermatology in Provo, Utah and active in the NPI registry since December 2017. The organization lists Mark Briesacher, Svp - Chief Phy Executive, as its authorized official.

NPPES Registry Identity

NPI1770099251
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameIHC HEALTH SERVICES INC
Location Address395 W COUGAR BLVD STE 604Provo, UT 84604-3331
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 442-1853
Organization SubpartNo
Authorized OfficialMark BriesacherSvp - Chief Phy Executive · (801) 442-3495
Enumeration DateDecember 20, 2017
Last NPPES UpdateJanuary 7, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1770099251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
395 W COUGAR BLVD STE 604, Provo, UT 84604

Other Names 1

Doing Business AsUtah Valley Dermatology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Utah Valley Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,682

Medicare enrollment records show 3,682 clinicians reassign Medicare billing to Utah Valley Dermatology, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 420 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 68

Nurse Practitioner813
Family Practice484
Internal Medicine245
Hospitalist196
Obstetrics/Gynecology193
Pediatric Medicine184
Psychiatry110
General Surgery83
60 other specialties1,374

Nearest to this location (20)

See all 3,682
Physical Medicine and Rehabilitation
NPI 1003436122
395 W COUGAR BLVD STE 802
Provo, UT 84604
(801) 357-8818
✔ PECOS✔ Accepts MedicareSame address
Sleep Medicine
NPI 1861856510
395 W COUGAR BLVD
Provo, UT 84604
(801) 357-7291
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1003551953
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1629431788
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1386746659
395 W COUGAR BLVD STE 203
Provo, UT 84604
(801) 357-7009
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1174143200
395 W COUGAR BLVD STE 502
Provo, UT 84604
(801) 357-8818
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790239671
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942788807
395 E COUGAR BLVD 101
Provo, UT 84604
(801) 357-7850
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1871080879
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639982812
395 W COUGAR BLVD STE 202
Provo, UT 84604
(801) 357-0550
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1174054936
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1609004050
395 W COUGAR BLVD STE 203
Provo, UT 84604
(801) 357-7009
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1972765402
395 W COUGAR BLVD STE 205
Provo, UT 84604
(801) 357-1770
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1902303522
395 W COUGAR BLVD STE 602
Provo, UT 84604
(801) 357-0570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386106698
395 W COUGAR BLVD
Provo, UT 84604
(801) 357-7081
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1467460246
395 W COUGAR BLVD STE 501
Provo, UT 84604
(801) 357-4945
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952332223
395 W COUGAR BLVD STE 803
Provo, UT 84604
(801) 235-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952610743
1055 N 300 W STE 205
Provo, UT 84604
(801) 374-9100
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1316044381
1055 N 300 W STE 104
Provo, UT 84604
(801) 357-7525
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1083629828
1055 N 300 W #110
Provo, UT 84604
(801) 357-7081
✔ PECOS✔ Accepts Medicare0.1 mi
See all 3,682 clinicians

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 Ihc Health Services Inc's NPI number?

The NPI number for Ihc Health Services Inc is 1770099251. It was assigned to this organization in the NPPES registry on December 20, 2017. The provider is doing business as Utah Valley Dermatology.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 395 W Cougar Blvd Ste 604, Provo, UT 84604. The listed phone number is (801) 371-6464.

What is Ihc Health Services Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Ihc Health Services Inc enrolled in Medicare?

Yes. Ihc Health Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ihc Health Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,682 clinicians in 68 Medicare specialties reassign their Medicare billing to Ihc Health Services 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 (813), Family Practice (484) and Internal Medicine (245). Of these, 17 practice at this address and 420 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 Ihc Health Services Inc was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.