NPIMap

Individual provider Active NPI

Craig J Kilburg, MD

  • Neurological Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1154611697
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35.137050 Issued in OH
Practice address
175 N Medical Dr
Salt Lake City, UT 84112-1103
Phone
(801) 585-6065
Fax
(801) 585-6087
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35.137050 OH Primary

Addresses

Primary practice location

175 N Medical Dr
Salt Lake City, UT 84112-1103

Mailing address

175 N Medical Dr
Salt Lake City, UT 84112-1103

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckilburg37579@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810002069 UT Practitioner - Neurosurgery 9537391446 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Michigan Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Utah Surgical ServicesGroup PAC ID 6002130481, 43 clinicians

Practice addresses (Care Compare)

50 N Medical Dr
University of Utah Dept of Neurosurgery
Salt Lake City, UT 84132-0100
Phone (801) 581-6908

Hospital & facility affiliations

  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009
  • Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008
  • Castleview Hospital Hospital, Price, UT, CCN 460011
  • Uintah Basin Medical Center Hospital, Roosevelt, UT, CCN 460019

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
77.8
Promoting interoperability
100
Improvement activities
40
Cost
65.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Surgical Services Current Accepting new patients
University of Utah Pediatric Services CurrentSince Jul 4, 2020 Accepting new patients
University of Utah Acuity Care Services CurrentSince Jul 4, 2020 Accepting new patients
University of Utah Surgical Services Neurological Surgery CurrentSince Jul 4, 2020 Accepting new patients
University of Utah Pediatric Services CurrentSince Jul 4, 2020 Accepting new patients
University of Utah Acuity Care Services CurrentSince Jul 4, 2020 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
Northwest Florida Multispecialty Physicians LLC Neurological Surgery Past Accepting new patients
University of Utah Surgical Services Past Accepting new patients
Baptist Neurology Inc PastSince Jul 1, 2018 Accepting new patients

Locations

250 E 200 S
Ste 1350
Salt Lake City, UT 84111
Phone 80158763362003

175 N Medical Dr
Slc, UT 84112
Phone (801) 581-6908

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

Interoperability endpoints

  • Direct secure messaging: ckilburg37579@direct.med.utah.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1154611697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841121103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841121103",
            "telephone_number": "801-585-6065",
            "fax_number": "801-585-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBURG",
        "first_name": "CRAIG",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35.137050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckilburg37579@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.