Individual provider Active NPI

Julia M Kammel, MD

  • Sports Medicine (Family Medicine) Physician
  • Salt Lake City, UT
National Provider Identifier
1407210446
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
10490165-1205 Issued in UT
Practice address
375 S Chipeta Way
Salt Lake City, UT 84108-1260
Phone
(801) 587-3411
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10490165-1205 UT
Sports Medicine (Family Medicine) Physician 207QS0010X 10490165-1205 UT Primary

Addresses

Primary practice location

375 S Chipeta Way
Salt Lake City, UT 84108-1260

Mailing address

375 S Chipeta Way
Salt Lake City, UT 84108-1260

Other practice location 1

9350 S 150 E Ste 460
Sandy, UT 84070-5502
Phone (801) 858-3715

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
I20190603002332 UT Practitioner - Sports MedicinePractitioner - Family Practice 9032485651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Georgetown University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

3723 W 12600
Suite 460
Riverton, UT 84065-7296
Phone (801) 285-4650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10490165-1205UTMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Family Medicine CurrentSince Feb 13, 2024 Accepting new patients
Physician Group of Utah Inc CurrentSince Nov 1, 2020 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
University of Utah Community Physicians Group Family Medicine Current Accepting new patients
University of Utah Community Physicians Group CurrentSince Apr 30, 2019 Accepting new patients
Ihc Health Services, Inc. CurrentSince Feb 13, 2024 Accepting new patients
Ihc Health Services Inc Family Medicine Past Accepting new patients

Locations

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

3723 W 12600 S
Ste 450
Riverton, UT 84065
Phone (801) 285-4540

3723 W 12600 S
Ste 460
Riverton, UT 84065
Phone (801) 285-4650

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

5848 S Fashion Blvd
Ste 120
Salt Lake City, UT 84107
Phone (801) 314-4100

82 S 1100 E
Ste 303
Salt Lake Cty, UT 84102
Phone (801) 533-2002

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

7998 S 1300 E
Sandy, UT 84094
Phone (801) 255-2000

9350 S 150 E
Ste 460
Sandy, UT 84070
Phone (801) 748-1861

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Organizations & group practices 8

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1407210446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S CHIPETA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S CHIPETA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081260",
            "telephone_number": "801-587-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9350 S 150 E Ste 460",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840705502",
            "country_code": "US",
            "telephone_number": "801-858-3715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMMEL",
        "first_name": "JULIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "10490165-1205",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "UT",
            "license": "10490165-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.