Kimball M Crofts, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

318158-1205 Issued in UT

Practice address

385 W 600 N
Lindon, UT 84042-1330

Phone

(801) 785-8825

Fax

(801) 785-8805

NPI assigned

Jan 2, 2007

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Plastic and Reconstructive Surgery

Education

University of Utah School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kimball Crofts M D LLCGroup PAC ID 9931127628, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kimball Crofts MD LLC

  dba Aesthetica Plastic Surgery

  • Plastic Surgery Physician
  • Lindon, UT
  • NPI 1548512858
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1437216306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 W 600 N",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840421330",
            "telephone_number": "801-785-8825",
            "fax_number": "801-785-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 W 600 N",
            "city": "LINDON",
            "state": "UT",
            "postal_code": "840421330",
            "telephone_number": "801-785-8825",
            "fax_number": "801-785-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFTS",
        "first_name": "KIMBALL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "UT",
            "license": "318158-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529051510003",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTHEALTH",
            "identifier": "107007434101",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clear Path Mental Path
• Clearping Medical
• Samuel Cole
• David Cox, SUDC, SAP
• Creek Capitol Lindon (Burg Children's Dentistry & Orthodontics - Lindon)
• Daniel Curiel, MD
• Michael S Curtis, MD
• CWS Care LLC. (BrightStar Care of Provo)
• Suzanne L. Dastrup, PH.D.
• Teri Elizabeth Dawson, LCSW

• Plastic and Reconstructive Surgery Physician in Lindon, UT
• Providers in Lindon, UT by specialty
• Plastic and Reconstructive Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.

Verify at the official NPI Registry.