Individual provider Active NPI

Kyle Robins, D.O.

  • Family Medicine Physician
  • St George, UT
National Provider Identifier
1275928988
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14226251-1204 Issued in UT
Practice address
736 S 900 E Ste 203
St George, UT 84790-7003
Phone
(435) 673-6131
Fax
(435) 673-8557
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 14226251-1204 UT Primary

Addresses

Primary practice location

736 S 900 E Ste 203
St George, UT 84790-7003

Mailing address

1055 N. 500 W. Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231026000770 ID Practitioner - Family Practice 3971862525 Reassigns benefits to 1 organization
I20250825002601 UT Practitioner - Family Practice 3971862525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boundary Community HospitalGroup PAC ID 3274583406, shared by 4 NPIs, 29 clinicians
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

6640 Kaniksu St
Bonners Ferry, ID 83805-7532
Phone (208) 267-3141

736 S 900
Suite 203
St George, UT 84790-7003
Phone (435) 673-6131

Hospital & facility affiliations

  • Boundary Community Hospital Hospital, Bonners Ferry, ID, CCN 131301
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14226251-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Sep 30, 2025 Accepting new patients
Revere Health PC CurrentSince Sep 30, 2025 Accepting new patients
Boundary Community Hospital Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Boundary Community Hospital CurrentSince Oct 1, 2023 Accepting new patients
Boundary Community Hospital Current Accepting new patients

Locations

6641 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

6640 Kaniksu St
Bonners Ferry, ID 83805
Phone (208) 267-3141

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

2825 E Mall Dr
St George, UT 84790
Phone (435) 673-6131

736 S 900 E
Ste 203
St George, UT 84790
Phone (435) 673-6131

Interoperability endpoints

  • Direct secure messaging: kylerobins@cuccu.allscriptsdirect.net
  • Direct secure messaging: kyle.robins.p90@direct.kootenai.nextgenshare.com

Organizations & group practices 5

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 2

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1275928988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N. 500 W. ATTN CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 S 900 E STE 203",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907003",
            "telephone_number": "435-673-6131",
            "fax_number": "435-673-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "KYLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "14226251-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.