Active NPI
Kenneth R Pinna, M.D.
- Specialist
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 541616501205
- 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, 2026
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233306 | Other | UT | ALTIUS |
| 54161501202001 | Other | UT | BLUE CROSS/ BLUE SHIELD |
| 5595330 | Other | UT | FIRST HEALTH |
| 7358374 | Other | UT | AETNA |
| 9385678 | Other | UT | PRIVATE HEALTH CARE SYSTE |
| 0200037 | Other | UT | UNITED HEALTH CARE |
| 81217 | Other | UT | PUBLIC EMPLOYEES HEALTH P |
| 107023322102 | Other | UT | INTERMOUNTAIN HEALTH CARE |
| 200355426KRP | Other | UT | EDUCATORS MUTUAL |
| 1568423879 | Medicaid | UT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- 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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 60.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 541616501205 | UT | MD | Specialist |
| 8720 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Southwest Allergy and Asthma Clinic PC
- Allergy & Immunology Physician
- St George, UT
- NPI 1124163902
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
dba Intermountain Health Cedar City Hospital
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.