Individual provider Active NPI

Jesse Knight, MD

  • Otolaryngology Physician
  • Tooele, UT
National Provider Identifier
1780844431
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
11810844-1205 Issued in UT
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

Updated by the provider on Jul 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120820000341 NM Practitioner - Otolaryngology 8224284609 Reassigns benefits to 2 organizations
I20200716001026 UT Practitioner - Otolaryngology 8224284609 Reassigns benefits to 2 organizations
I20230516001152 AZ Practitioner - Otolaryngology 8224284609 Reassigns benefits to 1 organization
I20260505001013 TX Practitioner - Otolaryngology 8224284609 Reassigns benefits to 1 organization

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
National Sinus Institute PLLCGroup PAC ID 9234284407, 36 clinicians

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

OrganizationSpecialtyStatusNew patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Feb 6, 2019 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Feb 6, 2019 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 CurrentSince Jul 1, 2020 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

  • Direct secure messaging: jknight16640@ahs.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAFBAA/Endpoint/FAFBAA
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.