GRANITE PEAKS ENDOSCOPYLLC NPI 1083758320

NPI Information

  • NPI: 1083758320
  • Provider Name: GRANITE PEAKS ENDOSCOPY,LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 46D1065407
  • Address: 10150 SOUTH PETUNIA WAY
    SANDY, UT
    ZIP 84092
  • Phone: (801) 619-9000

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NPI Details

GRANITE PEAKS ENDOSCOPY,LLC is an ambulatory surgical clinic center in Sandy, UT. GRANITE PEAKS ENDOSCOPY,LLC NPI is 1083758320. The provider is registered as an organization entity type.

The provider's business location address is:

10150 SOUTH PETUNIA WAY
SANDY, UT
ZIP 84092-380
Phone: (801) 619-9000
Fax: (801) 619-9001

The provider's authorized official is Andrew Heiner .
The authorized official title is Medical Director and has the following contact phone number (801) 619-9000.

The CLIA number assigned to this NPI record is 46D1065407 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Dilation of esophagus (HCPCS:43450)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Removal of external hemorrhoids by rubber banding (HCPCS:46221)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)

The enumeration date for this NPI number is 2/19/2007 and was last updated on 1/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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