Organization provider

SOUTHERN UTAH ALLERGY AND ASTHMA CLINIC PC

Allergy & Immunology Physician Medicare enrolled

SOUTHERN UTAH ALLERGY AND ASTHMA CLINIC PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124163902, based in Saint George, UT. It is classified under Allergy & Immunology Physician.

Getting there

The practice address on file is 1490 E FOREMASTER DR STE 260, Saint George, UT 84790. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1490 E FOREMASTER DR STE 260, Saint George, UT 84790 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
5416150-1205 UT Allergy & Immunology Physician primary

This provider holds licence 5416150-1205 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
4880642883
Enrollment ID
O20050106000408

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Allergy & Immunology covers

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. NUCC Health Care Provider Taxonomy, code 207K00000X
Allopathic & Osteopathic Physicians Allergy & Immunology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1124163902 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 20, 2007
Last updatedDec 12, 2025
StatusActive
Practice address 1490 E FOREMASTER DR STE 260
Saint George, UT 84790
(435) 688-1128
Fax (435) 673-4045
This record was updated on Dec 12, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1124163902 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 1 6 3 9 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 2 6 6 9 0

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124163902?
NPI 1124163902 is the National Provider Identifier assigned to SOUTHERN UTAH ALLERGY AND ASTHMA CLINIC PC in Saint George, UT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Allergy & Immunology Physician cover?
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency…
How do I contact SOUTHERN UTAH ALLERGY AND ASTHMA CLINIC PC?
The phone number on file with NPPES is (435) 688-1128, last updated Dec 12, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SOUTHERN UTAH ALLERGY AND ASTHMA CLINIC PC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1124163902 a valid number?
Yes. 1124163902 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.