SOUTH SANDY CLINIC
NPI 1992830103
Family Medicine in Sandy, UT

Active since February 21, 2007CLIA 46D0910490 · Waiver
955 E 11400 S, SANDY, UT 84094(801) 571-0030 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Sandy Clinic NPPES

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

SOUTH SANDY CLINIC (NPI 1992830103) is a healthcare organization registered as a family medicine in Sandy, Utah and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Linda C Leckman, Ceo Intermountain Medical Group, as its authorized official.

NPPES Registry Identity

NPI1992830103
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIHC HEALTH SERVICES INC
Location Address955 E 11400 SSandy, UT 84094-6946
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 571-0030
Organization SubpartNo
Authorized OfficialLinda C LeckmanCeo Intermountain Medical Group · (801) 442-3974
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 30, 2008
✔ NPI 1992830103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 55963
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.
955 E 11400 S, Sandy, UT 84094

Other Names 1

Doing Business AsSouth Sandy Clinic

Other Identifiers 1

Medicare PIN000055456

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)

South Sandy Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4,576

Medicare enrollment records show 4,576 clinicians reassign Medicare billing to South Sandy Clinic, which bills Medicare for the services they deliver. Of these, 1,173 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 75

Nurse Practitioner949
Family Practice516
Pediatric Medicine263
Internal Medicine262
Emergency Medicine211
Hospitalist198
Obstetrics/Gynecology196
Diagnostic Radiology173
67 other specialties1,808

Nearest to this location (20)

See all 4,576
Nurse Practitioner
NPI 1316491327
8446 S HARRISON ST
Midvale, UT 84047
(801) 417-0131
✔ PECOS0.4 mi
Certified Nurse Midwife (CNM)
NPI 1437702172
645 W FERN DR
Midvale, UT 84047
(801) 717-6465
✔ PECOS0.4 mi
Gastroenterology
NPI 1255389060
6360 S 3000 E STE 310
Salt Lake City, UT 84121
(801) 944-3144
✔ PECOS✔ Accepts Medicare0.7 mi
Clinical Psychologist
NPI 1700818911
5770 S 250 E STE 135
Murray, UT 84107
(801) 314-5500
✔ PECOS✔ Accepts Medicare0.7 mi
Hematology/Oncology
NPI 1184884470
3741 W 12600 S STE 340
Riverton, UT 84065
(801) 285-4750
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1942430863
5770 S 1500 W STE 105
Taylorsville, UT 84123
(801) 313-7770
✔ PECOS1.0 mi
Internal Medicine
NPI 1508096843
3723 W 12600 S STE 270
Riverton, UT 84065
(801) 285-4600
✔ PECOS✔ Accepts Medicare1.4 mi
Dermatology
NPI 1457790180
3723 W 12600 S STE 270
Riverton, UT 84065
(801) 285-4600
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1023412434
3723 W 12600 S STE 270
Riverton, UT 84065
(801) 285-4600
✔ PECOS✔ Accepts Medicare1.4 mi
Optometry
NPI 1215102298
9720 S 1300 E STE E210
Sandy, UT 84094
(801) 572-0631
✔ PECOS✔ Accepts Medicare1.4 mi
Obstetrics/Gynecology
NPI 1982965034
3723 W 12600 S STE 360
Riverton, UT 84065
(801) 285-4700
✔ PECOS✔ Accepts Medicare1.5 mi
Pediatric Medicine
NPI 1578786851
8822 REDWOOD RD C-211
West Jordan, UT 84088
(801) 563-1975
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1659491181
8846 S REDWOOD RD SUITE 121
West Jordan, UT 84088
(801) 569-1999
✔ PECOS✔ Accepts Medicare1.8 mi
Clinical Social Worker
NPI 1053782698
75 E FORT UNION BLVD STE C151
Midvale, UT 84047
(801) 503-6989
✔ PECOS1.9 mi
Plastic and Reconstructive Surgery
NPI 1174737548
9500 S 1300 E
Sandy, UT 84094
(801) 501-2555
✔ PECOS2.2 mi
Orthopedic Surgery
NPI 1073582862
9450 S 1300 E STE 120
Sandy, UT 84094
(801) 501-5500
✔ PECOS✔ Accepts Medicare2.2 mi
Emergency Medicine
NPI 1083648026
9660 S 1300 E
Sandy, UT 84094
(801) 269-2696
✔ PECOS2.2 mi
Psychiatry
NPI 1508111337
1654 W REUNION AVE STE 10B
South Jordan, UT 84095
(406) 404-6815
✔ PECOS✔ Accepts Medicare2.5 mi
Physical Medicine and Rehabilitation
NPI 1841557469
3723 W 12600 S STE 460
Riverton, UT 84065
(801) 285-4650
✔ PECOS✔ Accepts Medicare2.9 mi
Sports Medicine
NPI 1093820706
3723 W 12600 S STE 460
Riverton, UT 84065
(801) 285-4650
✔ PECOS✔ Accepts Medicare2.9 mi
See all 4,576 clinicians

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 Waiver 46D0910490

South Sandy Clinic - Family Medicine · Sandy, UT
Active · expires Oct 13, 2027
CLIA Number46D0910490
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorReagan Schaplow
Laboratory Phone(801) 571-0030
Laboratory LocationSouth Sandy Clinic - Family Medicine955 E 11400 S, Sandy, UT 84094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Ihc Health Services Inc's NPI number?

The NPI number for Ihc Health Services Inc is 1992830103. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as South Sandy Clinic.

Where is Ihc Health Services Inc located?

Ihc Health Services Inc is located at 955 E 11400 S, Sandy, UT 84094. The listed phone number is (801) 571-0030.

What is Ihc Health Services Inc's specialty?

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

Is Ihc Health Services Inc enrolled in Medicare?

Yes. Ihc Health Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ihc Health Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4,576 clinicians in 75 Medicare specialties reassign their Medicare billing to Ihc Health Services Inc. 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 (949), Family Practice (516) and Pediatric Medicine (263). Of these, 1,173 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ihc Health Services Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0910490) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ihc Health Services Inc accept?

Health plans from Molina Healthcare list Ihc Health Services Inc 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 Ihc Health Services Inc was last updated on July 30, 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.