Doctor profile · Federal record
Dr. Mark Gottlieb, D.O.
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Family Medicine Physician · Sandy, UT
- NPI 1174843643
- Accepts Medicare
- 36 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1403 E Sego Lily Dr # 100B
Sandy, UT 840924350
(801) 316-9620
fax (801) 316-9626 - Mailing address
-
Po Box 35380
Las Vegas, NV 891335380
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Profile last updated
- March 18, 2025
- Year of graduation
- 1990 — 36 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (3)
- Utah #14197633-1204 · Pennsylvania #OS007588L · Nevada #DO2844
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174843643. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$35
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Amgen Inc. | 1 | $34.92 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
0
Total drug cost
$83
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 13 | 0 | $83 |
Hospital affiliations
Frequently asked questions
What is Dr. Mark Gottlieb's medical specialty?
Dr. Mark Gottlieb practices Family Medicine Physician in Sandy, UT.
Where does Dr. Mark Gottlieb practice?
Dr. Mark Gottlieb practices at 1403 E Sego Lily Dr # 100B, Sandy, UT 840924350. Office phone: 8013169620.
What is Dr. Mark Gottlieb's NPI?
Dr. Mark Gottlieb's National Provider Identifier (NPI) is 1174843643, issued by NPPES.
Does Dr. Mark Gottlieb accept Medicare assignment?
Yes. Dr. Mark Gottlieb accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.