Individual provider Active NPI

Kenneth R Pinna, M.D.

  • Specialist
  • St George, UT
National Provider Identifier
1568423879
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
541616501205 Issued in UT
Practice address
1490 E Foremaster Dr Ste 260
Saint George, UT 84790-4502
Phone
(435) 688-1128
Fax
(435) 673-4045
NPI assigned
Mar 28, 2006
Last updated
May 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 541616501205 UT Primary

Addresses

Primary practice location

1490 E Foremaster Dr Ste 260
Saint George, UT 84790-4502

Mailing address

1490 E Foremaster Dr Ste 260
Saint George, UT 84790-4502
Phone (435) 688-1128

Other identifiers 10

IdentifierTypeStateIssuer
233306OtherUTALTIUS
54161501202001OtherUTBLUE CROSS/ BLUE SHIELD
5595330OtherUTFIRST HEALTH
7358374OtherUTAETNA
9385678OtherUTPRIVATE HEALTH CARE SYSTE
0200037OtherUTUNITED HEALTH CARE
81217OtherUTPUBLIC EMPLOYEES HEALTH P
107023322102OtherUTINTERMOUNTAIN HEALTH CARE
200355426KRPOtherUTEDUCATORS MUTUAL
1568423879MedicaidUT

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
I20040702000615 UT Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 1153308523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 W 1325
Suite 200
Cedar City, UT 84721-8179
Phone (435) 688-1128

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.12 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
60.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
541616501205UTMDSpecialist
8720NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBDFBD/Endpoint/CBDFBD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1568423879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 260",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904502",
            "telephone_number": "435-688-1128",
            "fax_number": "435-673-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR STE 260",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847904502",
            "telephone_number": "435-688-1128",
            "fax_number": "435-673-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNA",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "541616501205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "233306",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "54161501202001",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5595330",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7358374",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTH CARE SYSTE",
            "identifier": "9385678",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0200037",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC EMPLOYEES HEALTH P",
            "identifier": "81217",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERMOUNTAIN HEALTH CARE",
            "identifier": "107023322102",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDUCATORS MUTUAL",
            "identifier": "200355426KRP",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568423879",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.