SANTIBANEZ PAC UTAH
NPI 1881469484
Internal Medicine - Geriatric Medicine in Salt Lake City, UT
About Santibanez Pac Utah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTIBANEZ PAC UTAH (NPI 1881469484) is a healthcare organization registered as a geriatric medicine in Salt Lake City, Utah and active in the NPI registry since November 2023. The organization lists Julie Roser, Vp Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Santibanez Pac Utah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
55Medicare enrollment records show 55 clinicians reassign Medicare billing to Santibanez Pac Utah, which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 55Source: 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 Santibanez Pac Utah's NPI number?
The NPI number for Santibanez Pac Utah is 1881469484. It was assigned to this organization in the NPPES registry on November 24, 2023.
Where is Santibanez Pac Utah located?
Santibanez Pac Utah is located at 451 E Bishop Federal Ln, Salt Lake City, UT 84115. The listed phone number is (801) 487-7557.
What is Santibanez Pac Utah's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Santibanez Pac Utah enrolled in Medicare?
Yes. Santibanez Pac Utah is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Santibanez Pac Utah?
According to the CMS Revalidation Reassignment List (October 2026 release), 55 clinicians in 4 Medicare specialties reassign their Medicare billing to Santibanez Pac Utah. 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 (39), Internal Medicine (10) and Family Practice (5). Of these, 17 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Santibanez Pac Utah accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Santibanez Pac Utah 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 Santibanez Pac Utah was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Santibanez Pac Utah · NPI 1881469484
Geriatric Medicine organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since November 24, 2023.
## Identity
- **NPI:** 1881469484 (Entity type: Organization)
- **Enumerated:** November 24, 2023
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **Organization subpart:** No
- **Authorized official:** Julie Roser, VP OF OPERATIONS
## Practice location
- **Address:** 451 E BISHOP FEDERAL LN, Salt Lake City, UT 84115-2357
- **Phone:** (801) 487-7557
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 55 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (39), Internal Medicine (10), Family Practice (5); 17 practice within 10 miles; [full list](https://npiprofile.com/npi/1881469484/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1881469484) · Data from the CMS NPPES public registry.