Individual provider Active NPI

Kirk Grant Watkins, MD

  • Sleep Medicine (Family Medicine) Physician
  • St George, UT
National Provider Identifier
1326220559
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
325420-1205 Issued in UT
Practice address
251 Hilton Dr
#107
St George, UT 84770-2320
Phone
(435) 634-9630
Fax
(435) 634-9622
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 325420-1205 UT Primary

Addresses

Primary practice location

251 Hilton Dr
#107
St George, UT 84770-2320

Mailing address

251 Hilton Dr
#107
St George, UT 84770-2320
Phone (435) 634-9630

Other identifiers 1

IdentifierTypeStateIssuer
528066321022MedicaidUT

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
I20060118000587 UT Practitioner - Sleep MedicinePractitioner - Family PracticePractitioner - Other (Physician) 2961432729 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 1, 2008 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Mar 31, 2012 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 1, 2008 Accepting new patients
St George Sleep Medicine Center PC Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

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

652 S Medical Center Dr
Ste 310
St George, UT 84790
Phone (435) 251-3940

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1326220559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 HILTON DR",
            "address_2": "#107",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702320",
            "telephone_number": "435-634-9630",
            "fax_number": "435-634-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 HILTON DR",
            "address_2": "#107",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702320",
            "telephone_number": "435-634-9630",
            "fax_number": "435-634-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "KIRK",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "UT",
            "license": "325420-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528066321022",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.