Active NPI
Kelly Hewitt, M.D.
- Surgery Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 7771779-1205
- Practice address
- 3601 The Vanderbilt Clinic
Nashville, TN 37232-6015 - Phone
- (615) 322-3000
- NPI assigned
- Apr 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 7771779-1205 | UT | Primary |
| Surgery Physician | 208600000X | 170742 | OR | |
| Surgical Oncology Physician | 2086X0206X | 63561 | TN |
Addresses
Primary practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-6015
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other practice location 1
2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 706-5800
Other practice location 2
929 SW Bay St
Newport, OR 97365-4862
Phone (541) 574-4795
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khewitt55408@direct.med.utah.edu | Direct | University of Utah |
| Direct Messaging Address | khewitt651437@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Georgetown University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500
Phone (801) 585-2626
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170742 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Surgery | Past | Accepting new patients |
Locations
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100
Interoperability endpoints
- khewitt651437@direct.vumc.org
- khewitt55408@direct.med.utah.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
dba University of Utah Uveitis
- Ophthalmology Physician
- Salt Lake City, UT
- NPI 1427452275
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
dba Bronson Medical Group
- Internal Medicine Physician
- Paw Paw, MI
- NPI 1235131137
Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntsman Mental Health Institute
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1487734976
-
dba University Health Care Hospitals and Clinics
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1588656870
-
dba University Health Care
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1083858542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372152691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 THE VANDERBILT CLINIC",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372326015",
"telephone_number": "615-322-3000"
}
],
"practiceLocations": [
{
"address_1": "2500 NE Neff Rd",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977016015",
"country_code": "US",
"telephone_number": "541-706-5800",
"fax_number": "541-706-5911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "929 SW Bay St",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "OR",
"postal_code": "973654862",
"country_code": "US",
"telephone_number": "541-574-4795",
"fax_number": "541-574-4683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEWITT",
"first_name": "KELLY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-28",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "7771779-1205",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "170742",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "TN",
"license": "63561",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khewitt55408@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320100",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khewitt651437@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372326015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.