KAYSVILLE CLINIC, LLC
NPI 1013047521
Family Medicine in Layton, UT
About Kaysville Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAYSVILLE CLINIC, LLC (NPI 1013047521) is a healthcare organization registered as a family medicine in Layton, Utah and active in the NPI registry since March 2007. The organization lists Layne K Kamalu, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaysville Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Kaysville Clinic, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kaysville Clinic, LLC's NPI number?
The NPI number for Kaysville Clinic, LLC is 1013047521. It was assigned to this organization in the NPPES registry on March 6, 2007.
Where is Kaysville Clinic, LLC located?
Kaysville Clinic, LLC is located at 934 S Main, Layton, UT 84041. The listed phone number is (801) 544-4227.
What is Kaysville Clinic, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kaysville Clinic, LLC enrolled in Medicare?
Yes. Kaysville Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kaysville Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kaysville Clinic, LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Kaysville Clinic, LLC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Kaysville Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kaysville Clinic, LLC was last updated on October 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kaysville Clinic, Llc · NPI 1013047521
Family Medicine organization in Layton, Utah. Organization record, active in the CMS NPPES registry since March 6, 2007.
## Identity
- **NPI:** 1013047521 (Entity type: Organization)
- **Enumerated:** March 6, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Layne Kamalu, OWNER
## Practice location
- **Address:** 934 S MAIN, Layton, UT 84041-4250
- **Phone:** (801) 544-4227 · **Fax:** (801) 544-3724
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1013047521) · Data from the CMS NPPES public registry.