1. Home
  2. Directory
  3. Utah
  4. Sandy
  5. Emergency Medicine
  6. NPI Profile

KENNETH MICHAEL JORGENSEN MD
NPI 1083648026
Emergency Medicine - Emergency Medical Services in Sandy, UT

Active since July 10, 2006PECOS Enrolled
9660 S 1300 E, SANDY, UT 84094(801) 269-2696(801) 269-2690 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Michael Jorgensen Md NPPES

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

KENNETH MICHAEL JORGENSEN MD (NPI 1083648026) is an individual emergency medical services provider in Sandy, Utah, licensed in Utah (339837-1205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083648026
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameKENNETH MICHAEL JORGENSENCredential: MD
Location Address9660 S 1300 ESandy, UT 84094-3762
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180 · (801) 269-2696 · Fax (801) 269-2690
Phone(801) 269-2696
Fax(801) 269-2690
Sole ProprietorYes
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1083648026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in UT · 339837-1205
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
9660 S 1300 E, Sandy, UT 84094
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING49668UT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Michael Jorgensen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84094 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
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.

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.

JOHN B. KRUEGER, MD, PC
Specialist
9660 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 253-9753
JOHN THUESON, MD
Surgery
9660 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 993-9532
KAREN RUTH WEYMAN O.T.R, L
Occupational Therapist
9660 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 501-2153
GARY H LAMBERT MD
Emergency Medicine (Emergency Medical Services)
9660 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 269-2696
EDDIE C IORG MD
Emergency Medicine (Emergency Medical Services)
9660 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 269-2500
SARAH HOWELLS JENSEN R.N.
Registered Nurse
9660 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 501-2600
JEFFREY M MCNALLY MD
Emergency Medicine (Emergency Medical Services)
9660 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 269-2696
MS. NICHOLE CUDDEBACK CRNA
Nurse Anesthetist, Certified Registered
9660 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 727-2056

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 Kenneth Jorgensen's NPI number?

The NPI number for Kenneth Jorgensen is 1083648026. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Kenneth Jorgensen located?

Kenneth Jorgensen practices at 9660 S 1300 E, Sandy, UT 84094. The listed phone number is (801) 269-2696.

What is Kenneth Jorgensen's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Kenneth Jorgensen enrolled in Medicare?

Yes. Kenneth Jorgensen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Jorgensen was last updated on July 8, 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.