Individual provider Active NPI

Taylor James Kallas, M.D.

  • Emergency Medicine Physician
  • Provo, UT
National Provider Identifier
1275729311
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
366442-1205 Issued in UT
Practice address
1034 N 500 W
Provo, UT 84604-3380
Phone
(801) 362-4119
NPI assigned
Sep 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 70256 AZ
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 366442-1205 UT
Emergency Medicine Physician 207P00000X 366442-1205 UT Primary

Addresses

Primary practice location

1034 N 500 W
Provo, UT 84604-3380

Mailing address

133 N 1430 E
Spanish Fork, UT 84660-5682
Phone (919) 323-3522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OK, AZ, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20080807000105 UT Practitioner - Emergency Medicine 6305910431 Reassigns benefits to 2 organizations
I20230623000763 OK Practitioner - Emergency Medicine 6305910431 Reassigns benefits to 3 organizations
I20230630003195 AZ Practitioner - Emergency Medicine 6305910431 Reassigns benefits to 3 organizations
I20230823000733 TX Practitioner - Emergency Medicine 6305910431 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Group of Arizona Professional CorporationGroup PAC ID 1355596644, 102 clinicians
West Emergency Services LLCGroup PAC ID 1850785296, 16 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

1930 E Thomas Rd
Phoenix, AZ 85016-7711
Phone (602) 532-1000

300 N Hospital Dr
Price, UT 84501-4218
Phone (435) 637-4800

7171 S 51St Ave
Laveen, AZ 85339-2923
Phone (888) 732-3317

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
84.87
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
366442-1205UTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Oklahoma, Inc. Emergency Medicine CurrentSince May 5, 2023 Accepting new patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine CurrentSince May 8, 2024 Accepting new patients
West Emergency Services, LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Aug 1, 2023 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Aug 8, 2023 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 27, 2025 Accepting new patients
Utah Valley Emergency Physicians Inc Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jul 31, 2023 Accepting new patients
Saint Francis Hospital Muskogee Inc Past Accepting new patients

Locations

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

300 N Hospital Dr
Price, UT 84501
Phone (435) 636-4836

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

Organizations & group practices 12

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 6

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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1275729311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N 1430 E",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605682",
            "telephone_number": "919-323-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043380",
            "telephone_number": "801-362-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLAS",
        "first_name": "TAYLOR",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "70256",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "UT",
            "license": "366442-1205",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "366442-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.