Presidium Medical Group Pllc

ActiveOrganizationFamily Medicine
NPI issued: April 22, 2025

Quick Facts

NPI Number
1689461774
TypeOrganization
StatusActive
SpecialtyFamily Medicine
Taxonomy207QA0505X — Family Medicine
Phone
(619) 738-5566
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1689461774)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (April 22, 2025)
Data source: CMS NPPES

Provider Overview

PRESIDIUM MEDICAL GROUP PLLC is a Family Medicine provider based in Salt Lake City, UT who has been registered with CMS since 2025. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1689461774
Provider TypeOrganization
StatusActive
Enumeration DateApril 22, 2025

Practice Location

CitySalt Lake City
StateUT
ZIP Code84111-2704
Phone(619) 738-5566

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207QA0505X
License StateUT

Mailing Address

CitySalt Lake City
StateUT
ZIP Code84111-2704
Phone(619) 738-5566
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1689461774 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1689461774for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1689461774 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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3,796
Family Medicine Providers in the US

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People Also Ask

What is Presidium Medical Group Pllc's NPI number?
Presidium Medical Group Pllc's NPI number is 1689461774, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Presidium Medical Group Pllc's NPI currently active?
Yes, Presidium Medical Group Pllc's NPI status is Active as of the latest CMS NPPES database updates.
What does Presidium Medical Group Pllc specialize in?
Presidium Medical Group Pllc specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207QA0505X.
Where does Presidium Medical Group Pllc practice?
Presidium Medical Group Pllc practices in Salt Lake City, UT 84111-2704.
When was Presidium Medical Group Pllc's NPI issued?
Presidium Medical Group Pllc's NPI was issued on April 22, 2025.
What is Presidium Medical Group Pllc's provider type?
Presidium Medical Group Pllc is registered as an Organization under CMS NPI Type 2.