Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEVIN JURGENSMEIER MD
NPI 1235716184
Orthopaedic Surgery - Sports Medicine in Salt Lake City, UT

Q: What is Kevin Jurgensmeier's NPI number?

The NPI number for Kevin Jurgensmeier is 1235716184. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Kevin Jurgensmeier's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since March 26, 2021PECOS Enrolled

590 S WAKARA WAY RM A0058, SALT LAKE CITY, UT 84108(801) 587-5457 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Aug 11, 2022, Jun 17, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Kevin Jurgensmeier Md NPPES

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

KEVIN JURGENSMEIER MD (NPI 1235716184) is an individual sports medicine provider in Salt Lake City, Utah, licensed in Utah (14279461-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1235716184

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameKEVIN JURGENSMEIERCredential: MD

Location Address590 S WAKARA WAY RM A0058Salt Lake City, UT 84108-1200

Mailing Address590 S Wakara Way Rm A0058Salt Lake City, UT 84108-1200 · (801) 587-5457

Phone(801) 587-5457

Sole ProprietorNo

Enumeration DateMarch 26, 2021

Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1235716184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in UT · 14279461-1205

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 31993 (MN), 71974 (MN)

590 S WAKARA WAY RM A0058, Salt Lake City, UT 84108

Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Jurgensmeier 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.

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.

CAMERON R. GUY MD

Orthopaedic Surgery