Karl M Cumming
Individual provider Active NPI Certified Registered Nurse Anesthetist · American Fork, UT
NPI 1275129199 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1275129199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 8359171-4406 (UT)
- Practice address
- 170 N 1100 E
American Fork, UT 84003-2096 - Phone
- (210) 900-0084
- NPI assigned
- Dec 15, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- NPH Anesthesia of Utah LLC
Utah Gastroenterology LLC
Practice addresses (Care Compare)
5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443
6360 S 3000
Suite 310
Salt Lake City, UT 84121-6939
Phone (801) 944-3188
Hospital & facility affiliations
- American Fork Hospital
- Orem Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210604001856 | UT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406264175 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9496165 | FL | MD | Critical Care Medicine Registered Nurse |
| 8359171-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Gastroenterology LLC | Current |
Accepting new patients | |
| Utah Gastroenterology LLC | Current | Accepting new patients | |
| Utah Gastroenterology | Current |
Accepting new patients | |
| NPH Anesthesia of Utah, LLC | Current |
Accepting new patients |
Locations
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570
1175 E 50 S
American Fork, UT 84003
Phone (719) 492-5994
620 Medical Dr
Ste 205
Bountiful, UT 84010
Phone (801) 298-0057
331 N 400 W
Orem, UT 84057
Phone (801) 224-4080
6360 S 3000 E
Ste 310
Salt Lake Cty, UT 84121
Phone (801) 944-3144
1187 E 3900 S
Salt Lake Cty, UT 84124
Phone (801) 263-3041
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
368 E Riverside Dr
Ste A
St George, UT 84790
Phone (435) 673-1149
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Interoperability endpoints
- https://4af267b3-0b17-4e37-b82c-3c19f9bce5de.gastro.prod.fhir.ema-api.com/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9496165 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 8359171-4406 | UT | Yes |
Addresses
Primary practice location
170 N 1100 E
American Fork, UT 84003-2096
Mailing address
296 Cherry Hill Dr
Pleasant Grove, UT 84062-2930
Phone (210) 900-0084
Other providers in American Fork, UT
- Aria Crawford
- Brenda M Crawford
- Justin Crop
- Taylor Allan Crowther
- CSW Dental LLC
- D. B. Tug Wagstaff, LPC
- D. Vernon Cahoon
- Mohamed Dafalla
- Marja Liisa Damon
- Jessica Dangerfield
All providers in American Fork, UT · Certified Registered Nurse Anesthetist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.