JORDAN RIDGE FAMILY MEDICINE LLC
NPI 1770509754
Family Medicine in Salt Lake City, UT
About Jordan Ridge Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN RIDGE FAMILY MEDICINE LLC (NPI 1770509754) is a healthcare organization registered as a family medicine in Salt Lake City, Utah and active in the NPI registry since July 2006. The organization lists Emily D Castillo, Medical Staff Manager, 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)
Jordan Ridge Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Jordan Ridge Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (17)
Salt Lake City, UT 84123
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 Jordan Ridge Family Medicine LLC's NPI number?
The NPI number for Jordan Ridge Family Medicine LLC is 1770509754. It was assigned to this organization in the NPPES registry on July 14, 2006.
Where is Jordan Ridge Family Medicine LLC located?
Jordan Ridge Family Medicine LLC is located at 6321 S Redwood Rd Ste 201, Salt Lake City, UT 84123. The listed phone number is (801) 265-2212.
What is Jordan Ridge Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jordan Ridge Family Medicine LLC enrolled in Medicare?
Yes. Jordan Ridge Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jordan Ridge Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Jordan Ridge Family Medicine 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. The largest specialties are Nurse Practitioner (9) and Family Practice (8). Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jordan Ridge Family Medicine LLC accept?
Health plans from University of Utah Health Plans list Jordan Ridge Family Medicine 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 Jordan Ridge Family Medicine LLC was last updated on July 31, 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.
# Jordan Ridge Family Medicine Llc · NPI 1770509754
Family Medicine organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1770509754 (Entity type: Organization)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Emily Castillo, MEDICAL STAFF MANAGER
## Practice location
- **Address:** 6321 S REDWOOD RD, STE 201, Salt Lake City, UT 84123-6798
- **Phone:** (801) 265-2212 · **Fax:** (801) 265-0103
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (8); 2 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1770509754) · Data from the CMS NPPES public registry.