Alexander Madsen Knudson, MD
Individual provider Active NPI Pediatrics Physician · Spanish Fork, UT
NPI 1427707397 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1427707397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 14206991-1205 (UT)
- Practice address
- 325 W Center St
Spanish Fork, UT 84660-2060 - Phone
- (801) 894-1333
- Fax
- (801) 798-8513
- NPI assigned
- Mar 19, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250718000788 | UT | Practitioner - Pediatric Medicine | 9436526118 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14206991-1205 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon View Medical Group LLC | Current | Accepting new patients | |
| Canyon View Medical Group LLC | Pediatrics | Current |
Accepting new patients |
| Canyon View Medical Group LLC | Current |
Accepting new patients | |
| Canyon View Medical Group LLC | Pediatrics | Past | Accepting new patients |
Locations
94 W Main St
Santaquin, UT 84655
Phone (801) 754-3122
325 W Center St
Spanish Fork, UT 84660
Phone (801) 798-7301
Interoperability endpoints
- alexander.knudson.p1@direct.canyonviewmed.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14206991-1205 | UT | Yes |
Addresses
Primary practice location
325 W Center St
Spanish Fork, UT 84660-2060
Mailing address
458 N 750 E
Bountiful, UT 84010-2814
Phone (801) 698-2636
Other providers in Spanish Fork, UT
- Justin Lane Kitchen
- KM Boyer LLC
- Makayla Knickerbocker
- Pamela Knowles
- Micaela Harley Knudsen
- Anika Sage Kool
- Kos Spanish Fork LLC
- Kameron Scott Kuhni
- Kyle D. Christensen Chiropractic Professional Corporation
- John David Laraway
All providers in Spanish Fork, UT · Pediatrics Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.