DR. BRENT D. KENNIS MD
NPI 1194429092
Internal Medicine in Salt Lake City, UT

Q: What is Brent Kennis's NPI number?

The NPI number for Brent Kennis is 1194429092. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Brent Kennis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Kennis was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since March 27, 2023PECOS EnrolledAccepts Medicare Assignment

30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132(801) 581-7606 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 2, 2026, Sep 17, 2024, Mar 27, 2023 (3 updates tracked since 2023).

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About Dr. Brent D. Kennis Md NPPES

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

DR. BRENT D. KENNIS MD (NPI 1194429092) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (14145050-1205) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Riverton Hospital, and maintains a secondary practice location in Riverton.

NPPES Registry Identity

NPI1194429092

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BRENT D. KENNISCredential: MD

Location Address30 N 1900 E RM 4C104Salt Lake City, UT 84132-0002

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128

Phone(801) 581-7606

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 27, 2023

Last NPPES UpdateJune 2, 20263 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1194429092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in UT · 14145050-1205

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

30 N 1900 E RM 4C104, Salt Lake City, UT 84132

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Secondary Practice Location 1

Location 13723 W 12600 SRiverton, UT 84065-7295 · Phone (801) 507-4384

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brent D. Kennis Md 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 ID941731962

PECOS Enrollment IDI20260724001749

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.

Medicare Billing Reassignment

Medicare enrollment records show Brent Kennis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc

0.6 mi

Urology

324 E 10TH AVE STE 100
Salt Lake City, UT 84103

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1063941250 (801) 408-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Riverton Hospital

Acute Care Hospitals · Riverton, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460058

Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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.

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.

ALIYA S HUTMAN-ZAHLER MD

Internal Medicine