KELLEN HIRSCH MD
NPI 1225659170
Internal Medicine - Cardiovascular Disease in Salt Lake City, UT

Q: What is Kellen Hirsch's NPI number?

The NPI number for Kellen Hirsch is 1225659170. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Q: What is Kellen Hirsch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Kellen Hirsch was last updated on March 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2020PECOS Enrolled

93.09/100

CMS Quality Rating

HELIX: 30 N MARIO CAPECCHI DR RM 3N100, SALT LAKE CITY, UT 84112(801) 581-2121 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kellen Hirsch Md NPPES

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

KELLEN HIRSCH MD (NPI 1225659170) is an individual cardiovascular disease provider in Salt Lake City, Utah, licensed in Utah (13891964-1205) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1225659170

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameKELLEN HIRSCHCredential: MD

Location AddressHELIX: 30 N MARIO CAPECCHI DR RM 3N100Salt Lake City, UT 84112-5095

Mailing AddressHelix: 30 N Mario Capecchi Dr Rm 3n100Salt Lake City, UT 84112-5095 · (801) 581-2121

Phone(801) 581-2121

Sole ProprietorNo

Enumeration DateMay 1, 2020

Last NPPES UpdateMarch 29, 2024

NPPES CertifiedMarch 27, 2024

✔ NPI 1225659170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in UT · 13891964-1205✔ Licensed in WA · MD61283933

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD61283933 (WA)

Also ListedHospitalistTaxonomy 208M00000X · License MD61283933 (WA)

HELIX: 30 N MARIO CAPECCHI DR RM 3N100, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 11959 NE Pacific StSeattle, WA 98195-0001 · Phone (303) 808-8422

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kellen Hirsch 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 84112 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

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.95

Promoting Interoperability

100

Improvement Activities

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.

MELANIE ROSADO MD

Internal Medicine