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

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