Active NPI
Michael A Kueber Jr., MD
- Emergency Medicine Physician
- Moab, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10495615-1205
- Practice address
- 450 Williams Way
Moab, UT 84532-2185 - Phone
- (435) 719-3510
- NPI assigned
- Jun 13, 2011
- Last updated
- Feb 10, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 55346 | MN | |
| Emergency Medicine Physician | 207P00000X | P9892 | TX | |
| Emergency Medicine Physician | 207P00000X | 10495615-1205 | UT | Primary |
Addresses
Primary practice location
450 Williams Way
Moab, UT 84532-2185
Mailing address
2280 Rock Valley Rd
Grand Junction, CO 81507-1639
Other practice location 1
1600 University Dr E
College Station, TX 77840-2642
Phone (979) 691-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Saint Louis University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Williams Way
Moab, UT 84532-2185
Phone (435) 210-6860
500 W Pacific Ave
Telluride, CO 81435-5012
Phone (970) 728-3848
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10495615-1205 | UT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telluride Medical Center | Current | Accepting new patients | |
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Community Medical Group, LLC | Past | Accepting new patients |
Locations
450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191
333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
-
- Emergency Care Clinic/Center
- Telluride, CO
- NPI 1508807694
-
dba Moab Regional Hospital
- Critical Access Hospital
- Moab, UT
- NPI 1770513236
-
dba Community Care of the Grand Valley
- Family Medicine Physician
- Grand Junction, CO
- NPI 1629201637
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Moab Regional Hospital
- Critical Access Hospital
- Moab, UT
- NPI 1770513236
-
dba Moab Regional Recovery Center
- Methadone Clinic
- Moab, UT
- NPI 1285380394
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1578858171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 ROCK VALLEY RD",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815071639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 WILLIAMS WAY",
"city": "MOAB",
"state": "UT",
"postal_code": "845322185",
"telephone_number": "435-719-3510"
}
],
"practiceLocations": [
{
"address_1": "1600 University Dr E",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778402642",
"country_code": "US",
"telephone_number": "979-691-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUEBER",
"first_name": "MICHAEL",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "55346",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "P9892",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "10495615-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moab, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.