Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Michael Roberts

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1962031435

Jared Michael Roberts is a Family Practice in Eagle Mountain, Utah. Graduated from University of Utah School of Medicine in 2020, 6 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2020
Specialties on file
2

Practice location Address checks out

3943 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5543
Phone: (801) 789-5566
Fax: (801) 642-2941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13953401-1205 (UT)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 13953401-1205 (UT)

Record details

NPI number1962031435
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address275 W 200 N, Lindon, UT 84042-5009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount