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KEITH J LANE MD
NPI 1558370361
Internal Medicine in Salt Lake City, UT

Active since August 08, 2006PECOS Enrolled
82 S 1100 E, 204, SALT LAKE CITY, UT 84102(801) 350-4602(801) 350-4753 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keith J Lane Md NPPES

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

KEITH J LANE MD (NPI 1558370361) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (180506-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558370361
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEITH J LANECredential: MD
Location Address82 S 1100 E, 204Salt Lake City, UT 84102-1686
Mailing Address82 S 1100 E, Suite 204Salt Lake City, UT 84102-1686 · (801) 350-4602 · Fax (801) 350-4753
Phone(801) 350-4602
Fax(801) 350-4753
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateNovember 22, 2011
✔ NPI 1558370361 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 · 180506-1205
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.
82 S 1100 E, Salt Lake City, UT 84102
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN005569005UT
Medicare UPINE27865

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith J Lane 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.

Medicare Billing Reassignment

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

Physician Group Of Utah Inc
14 mi
Specialist
406 W SOUTH JORDAN PKWY, SUITE 500
South Jordan, UT 84095
  • Reassigned Medicare billing, Utah enrollment
  • 254 clinicians in this Medicare group
NPI 1477676930 (801) 984-3418

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84102 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 16

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

APOTHECARY SHOPPE, INC
Pharmacy
82 S 1100 E, SUITE 104
SALT LAKE CITY, UT 84102
Salt Lake County (801) 521-6353
DR. TERRY PAUL SMITH DPM
Podiatrist
82 S 1100 E, SUITE 300
SALT LAKE CITY, UT 84102
Salt Lake County (801) 505-5277
CHARLES KIP DEWEESE APRN
Nurse Practitioner
82 S 1100 E, SUITE 204
SALT LAKE CITY, UT 84102
Salt Lake County (801) 350-4602
ANDREW D COOPER MD PC
Orthopaedic Surgery (Sports Medicine)
82 S 1100 E, SUITE 303
SALT LAKE CITY, UT 84102
Salt Lake County (801) 533-2002
RICHARD G SEEGMILLER DPM PC
Podiatrist
82 S 1100 E, STE 301
SALT LAKE CITY, UT 84102
Salt Lake County (801) 505-5277
PAUL G. LEHMITZ M.D.
Internal Medicine
82 S 1100 E, 403
SALT LAKE CITY, UT 84102
Salt Lake County (801) 505-5299
CHELSEA BROOKE CHANEY DNP, APRN, CNM
Advanced Practice Midwife
82 S 1100 E, SUITE 305
SALT LAKE CITY, UT 84102
Salt Lake County (801) 214-7650
MARK DAVID SCHOLL M.D.
Orthopaedic Surgery (Sports Medicine)
82 S 1100 E, SUITE 303
SALT LAKE CITY, UT 84102
Salt Lake County (801) 533-2002

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 Keith Lane's NPI number?

The NPI number for Keith Lane is 1558370361. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Keith Lane located?

Keith Lane practices at 82 S 1100 E 204, Salt Lake City, UT 84102. The listed phone number is (801) 350-4602.

What is Keith Lane's specialty?

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

Is Keith Lane enrolled in Medicare?

Yes. Keith Lane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keith Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Lane reassigns Medicare benefits to Physician Group Of Utah Inc (South Jordan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keith Lane was last updated on November 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.