Individual provider Active NPI

Kevin Tschetter, MD

  • Internal Medicine Physician
  • Draper, UT
National Provider Identifier
1912922923
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
313169-8905 Issued in UT
Practice address
74 E Kimballs LN Ste 300
Draper, UT 84020-5009
Phone
(801) 572-0311
Fax
(801) 571-1369
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 313169-8905 UT Primary

Addresses

Primary practice location

74 E Kimballs LN Ste 300
Draper, UT 84020-5009

Mailing address

PO Box 198560
Atlanta, GA 30384-8560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address KEVIN.TSCHETTER@hca3.eclinicaldirectplus.com
Direct Messaging Address ktschetter6332@epicmtn.hcadirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000806 UT Practitioner - Internal Medicine 2062313059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Minnesota Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountainstar Medical Group-St. Marks Hospital LLCGroup PAC ID 1557443322, 13 clinicians

Practice addresses (Care Compare)

74 E Kimballs LN
Suite 300
Draper, UT 84020-5009
Phone (801) 572-0311

Hospital & facility affiliations

  • Renew Home Health Home health agency, Murray, UT, CCN 467322
  • Aspen Ridge Home Health Home health agency, Murray, UT, CCN 467220
  • Canyon Home Care Home health agency, Murray, UT, CCN 467226
  • True North Home Health Home health agency, South Salt Lake, UT, CCN 467224
  • Valeo Home Health Home health agency, Murray, UT, CCN 467217
  • Solstice Hospice and Palliative Care, LLC Hospice, Salt Lake City, UT, CCN 461575
  • Dignity Hospice of Utah Hospice, American Fork, UT, CCN 461601
  • Symbii Hospice South Hospice, Murray, UT, CCN 461606
  • Valeo Hospice LLC Hospice, Murray, UT, CCN 461604
  • Valeo Hospice Hospice, Layton, UT, CCN 461541
  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060
  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044
  • Intermountain Health Riverton Hospital Hospital, Riverton, UT, CCN 460058
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • Highland Care Center Nursing home, Holladay, UT, CCN 465078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313169-8905UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Physicians Care Center Internal Medicine Current Accepting new patients
Mountainstar Medical Group-St. Marks Hospital, LLC CurrentSince Oct 1, 2010 Accepting new patients
Utah Physicians Care Centers PC Internal Medicine Current Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

74 E Kimballs Ln
Ste 300
Draper, UT 84020
Phone (801) 572-0311

5630 S Waterbury Way
Ste B102
Salt Lake Cty, UT 84121
Phone (801) 261-9651

10965 S State St
Ste 100
Sandy, UT 84070
Phone (801) 542-0550

8846 S Redwood Rd
Ste E12
West Jordan, UT 84088
Phone (801) 266-2777

Interoperability endpoints

  • Direct secure messaging: kevin.tschetter@hca3.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/15147/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ktschetter6332@epicmtn.hcadirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Symbii Hospice SouthMurray, UT, CCN 461606 Hospice Contracted Managing Employee Dec 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1912922923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198560",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 E KIMBALLS LN STE 300",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205009",
            "telephone_number": "801-572-0311",
            "fax_number": "801-571-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHETTER",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-01-20",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "313169-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KEVIN.TSCHETTER@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "74 E Kimballs Ln Ste 300",
            "city": "Draper",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840205009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktschetter6332@epicmtn.hcadirect.net",
            "affiliation": "N",
            "address_1": "74 E Kimballs Ln Ste 300",
            "city": "Draper",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840205009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.