Active NPI
Kade T Huntsman, MD
- Orthopaedic Surgery of the Spine Physician
- Salt Lake City, UT
National Provider Identifier
1730171232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 50640801205
- Practice address
- 1160 E 3900 S Ste 5000
Salt Lake City, UT 84124-1275 - Phone
- (801) 261-7479
- Fax
- (801) 261-7429
- NPI assigned
- Aug 19, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 50640801205 | UT | Primary |
Addresses
Primary practice location
1160 E 3900 S Ste 5000
Salt Lake City, UT 84124-1275
Mailing address
PO Box 100253
Atlanta, GA 30384-5831
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D4455 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040102000849 | UT | Practitioner - Orthopedic Surgery | 1850298902 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Eastern Virginia Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Huntsman Spinal Clinic Inc
Practice addresses (Care Compare)
1220 E 3900
Suite 3G
Salt Lake City, UT 84124-1326
Phone (801) 346-7788
Hospital & facility affiliations
- True North Home Health
- Utah Home Health - North
- St Mark'S Hospital
- Lone Peak Hospital
- Ogden Regional Medical Center
- Holy Cross Hospital-Davis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 481 |
| Laminectomy or laminotomy (partial removal of spine bones) | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50640801205 | UT | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntsman Spinal Clinic Inc | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
Locations
1220 E 3900 S
Ste 3G
Salt Lake Cty, UT 84124
Phone (801) 268-4924
5782 Adams Avenue Pkwy
Washington Tr, UT 84405
Phone (801) 917-8000
Organizations & group practices 1
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.
-
- Orthopaedic Surgery of the Spine Physician
- Salt Lake City, UT
- NPI 1659141190
Orthopaedic Surgery of the Spine, UT
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Layton, UT
- NPI 1912401613
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
Hospital
-
- Home Health Agency
- South Salt Lake, UT
- NPI 1851303390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1730171232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100253",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303845831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 E 3900 S STE 5000",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241275",
"telephone_number": "801-261-7479",
"fax_number": "801-261-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTSMAN",
"first_name": "KADE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "UT",
"license": "50640801205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D4455",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.