Active NPI
Kurt R Umbrell, PA-C
- Medical Physician Assistant
- Layton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4935435-1206
- Practice address
- 2132 N 1700 W
Suite 200
Layton, UT 84041-7057 - Phone
- (801) 776-0174
- Fax
- (801) 825-3904
- NPI assigned
- Oct 18, 2010
- Last updated
- Apr 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4935435-1206 | UT | Primary |
Addresses
Primary practice location
2132 N 1700 W
Suite 200
Layton, UT 84041-7057
Mailing address
PO Box 30180
Suite 310
Salt Lake City, UT 84130-0180
Phone (801) 362-0295
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 S Medical Dr
Mount Pleasant, UT 84647-2222
Phone (435) 462-4169
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Utah Cardiology PC | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1100 S Medical Dr
Mt Pleasant, UT 84647
Phone (435) 462-2441
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Intermountain Health Sanpete Valley Hospital
- Critical Access Hospital
- Mt Pleasant, UT
- NPI 1407964398
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba American Fork Physical Medicine & Rehab
- Physical Medicine & Rehabilitation Physician
- American Fork, UT
- NPI 1174949002
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Medical Specialty Clinic/Center
- Farmington, UT
- NPI 1477643179
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Sanpete Valley Hospital
- Critical Access Hospital
- Mt Pleasant, UT
- NPI 1407964398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459814400000",
"number": "1417267956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"address_2": "SUITE 310",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180",
"telephone_number": "801-362-0295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 N 1700 W",
"address_2": "SUITE 200",
"city": "LAYTON",
"state": "UT",
"postal_code": "840417057",
"telephone_number": "801-776-0174",
"fax_number": "801-825-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMBRELL",
"first_name": "KURT",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-18",
"last_updated": "2016-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "UT",
"license": "4935435-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.