PHYSICIANS MEDICAL GROUP – NPI #1972078723
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

PHYSICIANS MEDICAL GROUP is a radiologist located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1972078723 to PHYSICIANS MEDICAL GROUP on October 08, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was last updated on Dec 26, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHYSICIANS MEDICAL GROUP below.

NPI Profile for
PHYSICIANS MEDICAL GROUP

NPI Number
1972078723
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHYSICIANS MEDICAL GROUP
Primary location
4624 S HOLLADAY BLVD STE 202
SALT LAKE CITY, UT 84117-7168
Phone: (385) 800-5015 Fax: (801) 277-6678
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNY SIMBARI
BILLER
Phone: (385) 800-5015
Updated
Certification Date
Dec 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PHYSICIANS MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherGROUP NPIUT1972078723
otherINDIVIDUAL NPIUT1184807208
otherINDIVIDUAL NPIUT1356897821
otherINDIVIDUAL NPIUT1861622219
otherINDIVIDUAL NPIUT1619935053
otherINDIVIDUAL NPIUT1740543834
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0204X
- Radiology / Vascular & Interventional Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.