Individual provider Active NPI

Layne K Kamalu, M.D.

  • Family Medicine Physician
  • Kaysville, UT
National Provider Identifier
1104987916
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
321149-1205 Issued in UT
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

Updated by the provider on Dec 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLCGroup PAC ID 2264331636, 2 clinicians

Practice addresses (Care Compare)

120 S Main St
Kaysville, UT 84037-2527
Phone (801) 544-4227

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Kaysville Clinic, LLC Family Medicine CurrentSince Jan 7, 2000 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Feb 11, 2020 Accepting new patients
Ihc Health Services, Inc. CurrentSince Oct 10, 2010 Accepting new patients
Ihc Health Services Inc Emergency Medicine CurrentSince Oct 10, 2010 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.