NPIMap

Individual provider Active NPI

Kimberly Ann Huerth, MD

  • Dermatology Physician
  • West Jordan, UT
National Provider Identifier
1437503687
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
11765776-1205 Issued in UT
Practice address
3592 W 9000 S
West Jordan, UT 84088-8859
Phone
(801) 298-3802
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 11765776-1205 UT
Dermatology Physician 207N00000X 11765776-1205 UT Primary

Addresses

Primary practice location

3592 W 9000 S
West Jordan, UT 84088-8859

Mailing address

611 S Main St Unit 812
Salt Lake City, UT 84111-4118
Phone (617) 304-9666

Other practice location 1

1222 W Legacy Crossing Blvd Ste 200
Centerville, UT 84014-5560
Phone (801) 298-3802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415002039 NH Practitioner - Dermatology 5991092751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

253 Pleasant St
Concord, NH 03301-7560
Phone (603) 226-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions138
Skin biopsy55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11765776-1205UTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince May 13, 2025 Accepting new patients
Epiphany Dermatology of Montana, PLLC Dermatology CurrentSince Apr 1, 2021 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince May 13, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

24 E Broadway St
Butte, MT 59701
Phone (406) 310-1376

100 Park Dr S
Great Falls, MT 59401
Phone (406) 613-7160

1 Medical Park Dr
Ste 201B
Helena, MT 59601
Phone (406) 443-7200

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

4150 5th St
Rapid City, SD 57701
Phone (605) 399-4300

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Organizations & group practices 7

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1437503687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S MAIN ST UNIT 812",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841114118",
            "telephone_number": "617-304-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888859",
            "telephone_number": "801-298-3802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 W Legacy Crossing Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "UT",
            "postal_code": "840145560",
            "country_code": "US",
            "telephone_number": "801-298-3802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUERTH",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "11765776-1205",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "11765776-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.