Individual provider Active NPI

Karl Kirk Trimble, MD

  • Procedural Dermatology Physician
  • St George, UT
National Provider Identifier
1184616880
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
5645767-1205 Issued in UT
Practice address
169 W 2710 South Cir Ste 101
St George, UT 84790-7202
Phone
(435) 674-3552
Fax
(435) 674-5905
NPI assigned
Aug 18, 2005
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 5645767-1205 UT Primary

Addresses

Primary practice location

169 W 2710 South Cir Ste 101
St George, UT 84790-7202

Mailing address

459 Del Mar Dr
St George, UT 84790-7984
Phone (435) 674-3552

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
I20050215000191 UT Practitioner - Dermatology 4880646207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dixie Dermatology a Professional CorporationGroup PAC ID 5890747216, 3 clinicians

Practice addresses (Care Compare)

169 W 2710 S Circle
Suite 101
Saint George, UT 84790-7202
Phone (435) 674-3552

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.58 of 100Reported as individual
Quality
95.24
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision196
Removal of skin lesions3566
Removal of skin cancer541
Removal of nail tissue1-10
Removal or shaving of skin growth33
Skin biopsy1641

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dixie Dermatology a Professional Corporation CurrentSince Feb 1, 2005 Accepting new patients
April Larson MD, PC Procedural Dermatology PastSince Feb 1, 2005 Accepting new patients

Locations

169 W 2710 South Cir
Ste 101
St George, UT 84790
Phone (435) 674-3552

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1184616880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 DEL MAR DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907984",
            "telephone_number": "435-674-3552",
            "fax_number": "435-674-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W 2710 SOUTH CIR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907202",
            "telephone_number": "435-674-3552",
            "fax_number": "435-674-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "KARL",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "5645767-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.