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

Roy J Gandolfi, MD

Individual provider Internal Medicine Physician · NPI 1740211101

Roy J Gandolfi, MD is an Internal Medicine in West Valley City, Utah. Graduated from University of Michigan Medical School in 1981, 45 years ago. Practices with Granger Medical Clinic PC, a 191-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
45
Trained at
University of Michigan Medical School
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2965 W 3500 S
West Valley City, UT 84119-3602
Phone: (801) 965-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1689861205 (UT)

Record details

NPI number1740211101
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address2965 W 3500 S, West Valley City, UT 84119-3602

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1981 (45 years in practice)
Group practice Granger Medical Clinic Pc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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