Individual provider Active NPI

Kendall V Thurman, D.O.

  • Emergency Medicine Physician
  • Midlothian, VA
National Provider Identifier
1821206871
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0102202592 Issued in VA
Practice address
14118 Ashton Cove Dr
Midlothian, VA 23113-3990
Phone
(804) 379-4616
NPI assigned
May 21, 2007
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102202592 VA Primary

Addresses

Primary practice location

14118 Ashton Cove Dr
Midlothian, VA 23113-3990

Mailing address

9162 Renaissance Dr
Cedar Hills, UT 84062-9510
Phone (804) 238-2152

Other identifiers 1

IdentifierTypeStateIssuer
12190266OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kthurman225026@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150901001602 UT Practitioner - Emergency Medicine 0143352450 Reassigns benefits to 2 organizations
I20231214000862 WA Practitioner - Emergency Medicine 0143352450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.13 of 100Reported as group
Quality
85.82
Improvement activities
40
Cost
56.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102202592VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Oct 8, 2023 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Olney Emergency Group, a Professional LLC Emergency Medicine CurrentSince Oct 8, 2023 Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Oct 1, 2016 Accepting new patients
University of Utah Adult Services CurrentSince Oct 1, 2016 Accepting new patients
Tuckahoe Creek Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

700 N Redwood Rd
Lehi, UT 84048
Phone (385) 338-2600

750 W 800 N
Orem, UT 84057
Phone (801) 714-6000

333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Interoperability endpoints

  • Direct secure messaging: kendall.thurman.1@13794.direct.athenahealth.com
  • Direct secure messaging: kthurman225026@direct.med.utah.edu

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1821206871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9162 RENAISSANCE DR",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840629510",
            "telephone_number": "804-238-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14118 ASHTON COVE DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231133990",
            "telephone_number": "804-379-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "KENDALL",
        "middle_name": "V",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102202592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12190266",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kthurman225026@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.