Active NPI
Kenneth Lyle Crump, M.D.
- Family Medicine Physician
- Orem, UT
National Provider Identifier
1891719308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 275282-1205
- Practice address
- 811 N 900 W
Orem, UT 84057-7701 - Phone
- (801) 434-7600
- Fax
- (801) 434-7604
- NPI assigned
- Jul 27, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 275282-1205 | UT | Primary |
Addresses
Primary practice location
811 N 900 W
Orem, UT 84057-7701
Mailing address
811 N 900 W
Orem, UT 84057-7701
Phone (801) 434-7600
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
811 N 900
Orem, UT 84057-7701
Phone (801) 434-7600
Hospital & facility affiliations
- American Fork Hospital
- Intermountain Health Utah Valley Hospital
- Timpanogos Regional Hospital
- Holy Cross Hospital-Jordan Valley
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Mountain Family Medicine. LLC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Orem, UT
- NPI 1053408450
-
- Family Medicine Physician
- Saratoga Springs, UT
- NPI 1316012628
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
-
- General Acute Care Hospital
- Orem, UT
- NPI 1497702195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459728000000",
"number": "1891719308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 N 900 W",
"city": "OREM",
"state": "UT",
"postal_code": "840577701",
"telephone_number": "801-434-7600",
"fax_number": "801-434-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 N 900 W",
"city": "OREM",
"state": "UT",
"postal_code": "840577701",
"telephone_number": "801-434-7600",
"fax_number": "801-434-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMP",
"first_name": "KENNETH",
"middle_name": "LYLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2016-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "275282-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.