Active NPI
Jesse Knight, MD
- Otolaryngology Physician
- Tooele, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 11810844-1205
- Practice address
- 2376 N 400 E Ste 202
Tooele, UT 84074-3413 - Phone
- (435) 833-9600
- Fax
- (435) 882-4743
- NPI assigned
- Jun 16, 2008
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 11810844-1205 | UT | Primary |
Addresses
Primary practice location
2376 N 400 E Ste 202
Tooele, UT 84074-3413
Mailing address
2561 S 1560 W Unit B
Woods Cross, UT 84087-2361
Phone (801) 505-0821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, UT, AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Mercer University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2376 N 400
Suite 202
Tooele, UT 84074-3413
Phone (435) 843-3600
34910 Interstate 10 W
Suite 301
Boerne, TX 78006-9230
Phone (210) 202-0250
3917 W Rd
250 New Mexico Sinus Institute
Los Alamos, NM 87544-5302
Phone (505) 661-4147
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| Rehoboth McKinley Christian Health Care Services, Inc | Current | Accepting new patients | |
| ENT Surgical Associates PC | Otolaryngology | Current | Accepting new patients |
| Rehoboth McKinley Christian Health Care Services, Inc. | Current | Accepting new patients | |
| ENT Surgical Associates PC | Otolaryngology | Current | Accepting new patients |
Locations
1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000
2376 N 400 E
Ste 202
Tooele, UT 84074
Phone (435) 833-9600
1244 N Main St
Ste 200
Tooele, UT 84074
Phone (435) 833-9600
Interoperability endpoints
- jknight16640@ahs.direct-ci.com
- https://fhir4.healow.com/fhir/r4/FAFBAA/Endpoint/FAFBAA
- jknigh52@yourcarecommunity.org
Organizations & group practices 6
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.
-
- Otolaryngology Physician
- Tooele, UT
- NPI 1598747768
-
- Critical Access Hospital
- Gallup, NM
- NPI 1689784506
-
- Otolaryngology Physician
- Tooele, UT
- NPI 1497924229
-
- Rural Health Clinic/Center
- Gallup, NM
- NPI 1689779860
-
- Critical Access Hospital
- Gallup, NM
- NPI 1720084999
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tooele, UT
- NPI 1124090659
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Alamogordo, NM
- NPI 1861450579
-
- Rural Acute Care Hospital
- Los Alamos, NM
- NPI 1285701623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1780844431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 S 1560 W UNIT B",
"city": "WOODS CROSS",
"state": "UT",
"postal_code": "840872361",
"telephone_number": "801-505-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 N 400 E STE 202",
"city": "TOOELE",
"state": "UT",
"postal_code": "840743413",
"telephone_number": "435-833-9600",
"fax_number": "435-882-4743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "JESSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "UT",
"license": "11810844-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tooele, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.