Individual provider Active NPI

Jeremy Kessler, M.D.

  • Family Medicine Physician
  • Layton, UT
National Provider Identifier
1366705097
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12910275-1205 Issued in UT
Practice address
209 E Gordon Ave Ste 1
Layton, UT 84041-2357
Phone
(385) 786-6100
Fax
(385) 786-6102
NPI assigned
Jun 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12910275-1205 UT Primary

Addresses

Primary practice location

209 E Gordon Ave Ste 1
Layton, UT 84041-2357

Mailing address

PO Box 741729
Atlanta, GA 30374-1729
Phone (801) 771-7771

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
I20221020003460 UT Practitioner - Family Practice 1052555489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Wound Care and Hyperbaric Center LLCGroup PAC ID 2668849167, 2 clinicians

Practice addresses (Care Compare)

209 E Gordon Ave
Suite 1
Layton, UT 84041-2357
Phone (385) 786-6100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue329
Removal of skin lesions1-10
Removal of nail tissue58
Removal or shaving of skin growth133

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
College Drive Urgent Care LLC CurrentSince May 4, 2025 Accepting new patients
Utah Wound Care and Hyperbaric Center LLC CurrentSince Jan 13, 2025 Accepting new patients

Locations

209 E Gordon Ave
Ste 1
Layton, UT 84041
Phone (385) 786-6100

2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500

Interoperability endpoints

  • Direct secure messaging: jkessler117758@direct.carilionclinic.org

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 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": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1366705097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729",
            "telephone_number": "801-771-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E GORDON AVE STE 1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412357",
            "telephone_number": "385-786-6100",
            "fax_number": "385-786-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "JEREMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12910275-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.