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KEVIN L JANSEN M.D.
NPI 1013908995
Internal Medicine - Nephrology in South Salt Lake, UT

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
3702 S STATE ST STE 107, SOUTH SALT LAKE, UT 84115(801) 288-2634(801) 288-1186 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2024, Mar 25, 2021 (2 updates tracked since 2021).

About Kevin L Jansen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN L JANSEN M.D. (NPI 1013908995) is an individual nephrology provider in South Salt Lake, Utah, licensed in Utah (6555293-1205) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1999).

NPPES Registry Identity

NPI1013908995
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameKEVIN L JANSENCredential: M.D.
Location Address3702 S STATE ST STE 107South Salt Lake, UT 84115-5096
Mailing Address3702 S State St Ste 107South Salt Lake, UT 84115-5096 · (801) 288-2634 · Fax (801) 288-1186
Phone(801) 288-2634
Fax(801) 288-1186
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1999
Enumeration DateOctober 31, 2005
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1013908995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in UT · 6555293-1205
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3702 S STATE ST STE 107, South Salt Lake, UT 84115
Open in Google Maps ↗

Other Identifiers 1

Medicaid4828000340001UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin L Jansen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123919198
PECOS Enrollment IDI20070531000368
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
139 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
94 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Holy Cross Hospital-Jordan Valley

Acute Care Hospitals · West Jordan, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460051
Location3580 West 9000 SouthWest Jordan, UT 84088 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers59 claims4,013 services$0.31 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers34 claims3,000 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
10 suppliers49 claims49 services$17.81 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
12 suppliers68 claims82 services$12.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MICHELLE SORTO NP
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
DR. DAVE TIEN M.D.
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
JENNIFER NICOLE TWOHIG DNP
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
ZUBAIR BARBACENA SAEED ZAFAR MD
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
ZHAN WANG
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
CLAUDIA-DENISE HAIVAS M.D.
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SALT LAKE CITY, UT 84115
Salt Lake County (801) 288-2634
DONALD ROBERT MORRIS M.D.
Internal Medicine (Nephrology)
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634
CAROLINE CHAU QUACH
Nurse Practitioner
3702 S STATE ST STE 107
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 288-2634

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 Kevin Jansen's NPI number?

The NPI number for Kevin Jansen is 1013908995. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Kevin Jansen located?

Kevin Jansen practices at 3702 S State St Ste 107, South Salt Lake, UT 84115. The listed phone number is (801) 288-2634.

What is Kevin Jansen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kevin Jansen enrolled in Medicare?

Yes. Kevin Jansen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Jansen accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Kevin Jansen 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.

Is Kevin Jansen affiliated with any hospitals?

According to CMS data, Kevin Jansen is affiliated with Lds Hospital, Intermountain Medical Center, Intermountain Health Alta View Hospital, St Mark's Hospital and Holy Cross Hospital-Jordan Valley.

When was this NPI record last updated?

The NPPES record for Kevin Jansen was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.