Northeastern Utah Medical Group
NPI 1982664199 · Family Medicine Physician · Roosevelt, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeastern Utah Medical Group is a Family Medicine Physician organization in Roosevelt, UT (NPI 1982664199).
Provider details
- NPI number
- 1982664199
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brent Hales, Cfo(435) 722-6164
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
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
9 documented practice locations
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
Additional practice locations (8)
- 15548 W 4000 WAltamont, UT 84001Phone: (435) 454-3173Fax: (435) 454-3990
- 50 E 200 SDuchesne, UT 84021Phone: (435) 738-2426Fax: (435) 738-2845
- 96 North 100 WestManila, UT 84046Phone: (435) 784-3575Fax: (435) 784-3505
- 38080 West Sr 35Tabiona Clinic, UT 84072Phone: (435) 848-5509Fax: (435) 848-5507
- 175 N 200 W 102Vernal, UT 84078Phone: (435) 789-4489
- 405 N 500 WVernal, UT 84078-1907Phone: (435) 789-4691Fax: (435) 722-9291
- 475 N 500 WVernal, UT 84078-1907Phone: (435) 781-2030
- 379 N 500 WVernal, UT 84078-1956Phone: (435) 781-2030
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Northeastern Utah Medical Group's NPI number?
- Northeastern Utah Medical Group's National Provider Identifier (NPI) is 1982664199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeastern Utah Medical Group?
- Northeastern Utah Medical Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Northeastern Utah Medical Group located?
- Northeastern Utah Medical Group's practice location on file with NPPES is 210 W 300 N 7-3, Roosevelt, UT 84066.
- What is Northeastern Utah Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Northeastern Utah Medical Group is (435) 722-3971.
- Does Northeastern Utah Medical Group accept Medicare?
- Northeastern Utah Medical Group 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 Northeastern Utah Medical Group?
- The authorized official listed on Northeastern Utah Medical Group's NPPES record is Brent Hales, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeastern Utah Medical Group's NPI active?
- Yes — Northeastern Utah Medical Group's NPI (1982664199) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.