Intermountain Ear,nose, and Throat Specialists LLC
NPI 1487764411 · Medical Specialty Clinic/Center · Salt Lake City, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Intermountain Ear,nose, and Throat Specialists LLC is a Medical Specialty Clinic/Center organization in Salt Lake City, UT (NPI 1487764411).
Provider details
- NPI number
- 1487764411
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Evon Pefaur, Billing Manager(801) 328-2522
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Ear,nose and Throat Center of Salt Lake City
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2008-04-20
Frequently asked questions
- What is Intermountain Ear,nose, and Throat Specialists LLC's NPI number?
- Intermountain Ear,nose, and Throat Specialists LLC's National Provider Identifier (NPI) is 1487764411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intermountain Ear,nose, and Throat Specialists LLC?
- Intermountain Ear,nose, and Throat Specialists LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Intermountain Ear,nose, and Throat Specialists LLC located?
- Intermountain Ear,nose, and Throat Specialists LLC's practice location on file with NPPES is 22 S 900 E, Salt Lake City, UT 84102-1307.
- What is Intermountain Ear,nose, and Throat Specialists LLC's phone number?
- The practice phone number listed in the NPPES registry for Intermountain Ear,nose, and Throat Specialists LLC is (801) 328-2522.
- Does Intermountain Ear,nose, and Throat Specialists LLC accept Medicare?
- Intermountain Ear,nose, and Throat Specialists LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Intermountain Ear,nose, and Throat Specialists LLC?
- The authorized official listed on Intermountain Ear,nose, and Throat Specialists LLC's NPPES record is Evon Pefaur, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intermountain Ear,nose, and Throat Specialists LLC's NPI active?
- Yes — Intermountain Ear,nose, and Throat Specialists LLC's NPI (1487764411) is active in the NPPES registry as of the last update on 2008-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.