Keith W Elkins, M.D.
Individual provider Active NPI Family Medicine Physician · Morgan, UT
NPI 1679613475 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1679613475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 48740 (WI)
- Practice address
- 166 N State St
Morgan, UT 84050-9919 - Phone
- (801) 829-3426
- Fax
- (801) 829-3135
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountainstar Medical Group-Ogden Regional Medical Center LLC
Practice addresses (Care Compare)
166 N State St
Morgan, UT 84050-9919
Phone (801) 829-3426
5475 S 500
Ogden, UT 84405-6905
Phone (801) 475-8600
942 Chambers St
Suite 16
Ogden, UT 84403-5131
Phone (801) 475-6222
Hospital & facility affiliations
- Ogden Regional Medical Center
- Intermountain Health McKay-Dee Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 41 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171222000552 | UT | Practitioner - Family Practice |
8224052808 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Clare Memorial Hospital, Inc. | Past | Accepting new patients | |
| Htiphysician Services Business Office | Past | Accepting new patients |
Interoperability endpoints
- keith.elkins@hca3.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 48740 | WI | Yes |
Addresses
Primary practice location
166 N State St
Morgan, UT 84050-9919
Mailing address
PO Box 405714
Atlanta, GA 30384-5714
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326349135 | Other | WI | CMH SB NPI |
| 1851477913 | Other | WI | CMH NPI |
| 1467583096 | Other | WI | CMH PCC OF NPI |
Other providers in Morgan, UT
- Wendy Jo Chard
- County of Morgan
- Cheyenne Crafton
- Lance David Crowther
- Theran Lorin Crowther
- Ryan E. Everhart
- Family Tree of Morgan LLC
- First Class Medical
- Frontier Medical LLC
- Goodrich Performance Therapy
All providers in Morgan, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.