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SAGE DERMATOLOGY AND MOHS SURGERY, LLC
NPI 1841065463
Dermatology in Draper, UT

Active since November 24, 2023CLIA 46D2296329 · Certificate of Compliance
11760 S 700 E STE 112, DRAPER, UT 84020(216) 280-1875 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2023, Nov 24, 2023 (2 updates tracked since 2023).

About Sage Dermatology And Mohs Surgery, Llc NPPES

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

SAGE DERMATOLOGY AND MOHS SURGERY, LLC (NPI 1841065463) is a healthcare organization registered as a dermatology in Draper, Utah and active in the NPI registry since November 2023. The organization holds a CLIA Certificate of Compliance certificate valid through April 9, 2027 and lists Angela Brimhall, Owner, as its authorized official.

NPPES Registry Identity

NPI1841065463
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSAGE DERMATOLOGY AND MOHS SURGERY, LLC
Location Address11760 S 700 E STE 112Draper, UT 84020-6605
Mailing Address2932 N 1130 WPleasant Grove, UT 84062-8055 · (216) 280-1875
Phone(216) 280-1875
Organization SubpartNo
Authorized OfficialAngela BrimhallOwner · (216) 280-1875
Enumeration DateNovember 24, 2023
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
✔ NPI 1841065463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
11760 S 700 E STE 112, Draper, UT 84020
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Other Identifiers 1

Medicaid3011678UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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)

Sage Dermatology And Mohs Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sage Dermatology And Mohs Surgery, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Angela Brimhall, D.O., M.S.
Dermatology
NPI 1770773061
11760 S 700 E STE 112
Draper, UT 84020
(801) 882-9995
✔ PECOS✔ Accepts MedicareSame address
Nicole Rawle, APRN
Nurse Practitioner
NPI 1669777314
1055 N 500 W SUITE 111
Provo, UT 84604
(801) 374-8999
✔ PECOS✔ Accepts Medicare24 mi

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 Compliance 46D2296329

Sage Dermatology And Mohs Surgery · Draper, UT
Active · expires Apr 9, 2027
CLIA Number46D2296329
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorAngela K. Brimhall
Laboratory Phone(435) 900-7243
Laboratory LocationSage Dermatology And Mohs Surgery11760 S 700 E Suite 112, Draper, UT 84020
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Sage Dermatology And Mohs Surgery, LLC's NPI number?

The NPI number for Sage Dermatology And Mohs Surgery, LLC is 1841065463. It was assigned to this organization in the NPPES registry on November 24, 2023.

Where is Sage Dermatology And Mohs Surgery, LLC located?

Sage Dermatology And Mohs Surgery, LLC is located at 11760 S 700 E Ste 112, Draper, UT 84020. The listed phone number is (216) 280-1875.

What is Sage Dermatology And Mohs Surgery, LLC's specialty?

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

Is Sage Dermatology And Mohs Surgery, LLC enrolled in Medicare?

Yes. Sage Dermatology And Mohs Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sage Dermatology And Mohs Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sage Dermatology And Mohs Surgery, LLC, in Dermatology and Nurse Practitioner. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sage Dermatology And Mohs Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 46D2296329) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sage Dermatology And Mohs Surgery, LLC accept?

Health plans from University of Utah Health Plans list Sage Dermatology And Mohs Surgery, 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 Sage Dermatology And Mohs Surgery, LLC was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.