Active NPI
Layne K Kamalu, M.D.
- Family Medicine Physician
- Kaysville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 321149-1205
- Practice address
- 120 S Main St
Kaysville, UT 84037-2527 - Phone
- (801) 544-4227
- Fax
- (801) 544-3724
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 321149-1205 | UT | Primary |
Addresses
Primary practice location
120 S Main St
Kaysville, UT 84037-2527
Mailing address
120 S Main St
Kaysville, UT 84037-2527
Phone (801) 544-4227
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051116000272 | UT | Practitioner - Family Practice | 9335048701 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Saint Louis University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaysville Clinic, LLC
Practice addresses (Care Compare)
120 S Main St
Kaysville, UT 84037-2527
Phone (801) 544-4227
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Kaysville Clinic, LLC | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Emergency Medicine | Current | Accepting new patients |
| Carrington Health Center | Family Medicine | Past | Accepting new patients |
| Pegasus Emergency Group Wyoming LLC | Emergency Medicine | Past | Accepting new patients |
Locations
126 White Sage Ave
Delta, UT 84624
Phone (435) 864-5591
674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
4088 N Highway 91
Hyde Park, UT 84318
Phone (435) 563-4888
120 S Main St
Kaysville, UT 84037
Phone (801) 330-3440
412 N 200 E
Logan, UT 84321
Phone (435) 713-2710
2380 N 400 E
North Logan, UT 84341
Phone (435) 713-9700
975 Chambers St
South Ogden, UT 84403
Phone (801) 387-6200
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Ogden, UT
- NPI 1043697154
-
- Multi-Specialty Clinic/Center
- Cedar City, UT
- NPI 1689684110
Emergency Medicine
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Emergency Medicine Physician
- Rock Springs, WY
- NPI 1124328927
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1104987916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S MAIN ST",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840372527",
"telephone_number": "801-544-4227",
"fax_number": "801-544-3724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S MAIN ST",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840372527",
"telephone_number": "801-544-4227",
"fax_number": "801-544-3724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMALU",
"first_name": "LAYNE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "321149-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaysville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.