ST MARKS HOSPITALIST PROGRAM, LLC
NPI 1770393399
Obstetrics & Gynecology in Salt Lake City, UT
About St Marks Hospitalist Program, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST MARKS HOSPITALIST PROGRAM, LLC (NPI 1770393399) is a healthcare organization registered as an obstetrics & gynecology in Salt Lake City, Utah and active in the NPI registry since January 2025. The organization lists Josh Debry, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
St Marks Hospitalist Program, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to St Marks Hospitalist Program, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 St Marks Hospitalist Program, LLC's NPI number?
The NPI number for St Marks Hospitalist Program, LLC is 1770393399. It was assigned to this organization in the NPPES registry on January 8, 2025.
Where is St Marks Hospitalist Program, LLC located?
St Marks Hospitalist Program, LLC is located at 1200 E 3900 S, Salt Lake City, UT 84124. The listed phone number is (801) 268-7111.
What is St Marks Hospitalist Program, LLC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is St Marks Hospitalist Program, LLC enrolled in Medicare?
Yes. St Marks Hospitalist Program, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Marks Hospitalist Program, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to St Marks Hospitalist Program, 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, 2 practice at this address and 3 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 St Marks Hospitalist Program, LLC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# St Marks Hospitalist Program, Llc · NPI 1770393399
Obstetrics & Gynecology organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since January 8, 2025.
## Identity
- **NPI:** 1770393399 (Entity type: Organization)
- **Enumerated:** January 8, 2025
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Josh Debry, VICE PRESIDENT
## Practice location
- **Address:** 1200 E 3900 S, Salt Lake City, UT 84124-1300
- **Phone:** (801) 268-7111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Obstetrics/Gynecology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770393399) · Data from the CMS NPPES public registry.