EVOLUTIONARY HEALTHCARE LLC
NPI 1851349344
Family Medicine in Salt Lake City, UT

Active since May 05, 2006CLIA 46D1044256 · Microscopy
461 E 200 S, STE 100, SALT LAKE CITY, UT 84111(801) 519-2461(801) 596-3785 Get Directions Write a Review

NPPES record last updated: February 13, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evolutionary Healthcare Llc NPPES

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

EVOLUTIONARY HEALTHCARE LLC (NPI 1851349344) is a healthcare organization registered as a family medicine in Salt Lake City, Utah and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through August 14, 2027 and lists John V. Rettie, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1851349344
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVOLUTIONARY HEALTHCARE LLC
Location Address461 E 200 S, STE 100Salt Lake City, UT 84111-2102
Mailing Address461 E 200 S, Ste 100Salt Lake City, UT 84111-2102 · (801) 519-2461 · Fax (801) 596-3785
Fax(801) 596-3785
Organization SubpartNo
Authorized OfficialJohn V. RettieOffice Manager · (801) 519-2461
Enumeration DateMay 5, 2006
Last NPPES UpdateFebruary 13, 2008
✔ NPI 1851349344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
461 E 200 S, Salt Lake City, UT 84111

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

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)

Evolutionary Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Evolutionary Healthcare LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1205926805
461 E 200 S STE 100
Salt Lake City, UT 84111
(801) 519-2461
✔ PECOSSame address
Family Practice
NPI 1568464030
461 E 200 S SUITE 100
Salt Lake City, UT 84111
(801) 519-2461
✔ PECOSSame address
Family Practice
NPI 1417480716
900 ROUND VALLEY DR STE 110
Park City, UT 84060
(435) 658-6750
✔ PECOS22 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 for Provider-Performed Microscopy Procedures (PPMP) 46D1044256

Evolutionary Healthcare · Salt Lake City, UT
Active · expires Aug 14, 2027
CLIA Number46D1044256
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorCarol A. Osborn
Laboratory Phone(801) 971-4562
Laboratory LocationEvolutionary Healthcare461 E 200 S Ste 100, Salt Lake City, UT 84111
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Evolutionary Healthcare LLC's NPI number?

The NPI number for Evolutionary Healthcare LLC is 1851349344. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Evolutionary Healthcare LLC located?

Evolutionary Healthcare LLC is located at 461 E 200 S Ste 100, Salt Lake City, UT 84111. The listed phone number is (801) 519-2461.

What is Evolutionary Healthcare LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Evolutionary Healthcare LLC enrolled in Medicare?

Yes. Evolutionary Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolutionary Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Evolutionary Healthcare 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Evolutionary Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 46D1044256) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evolutionary Healthcare LLC accept?

Health plans from University of Utah Health Plans list Evolutionary Healthcare 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 Evolutionary Healthcare LLC was last updated on February 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.