DR. KENNON CHRISTOPHER TUBBS MD
NPI 1700842804
Family Medicine in West Valley City, UT
About Dr. Kennon Christopher Tubbs Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNON CHRISTOPHER TUBBS MD (NPI 1700842804) is an individual family medicine provider in West Valley City, Utah, licensed in Utah (344132-1205) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Draper.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kennon Christopher Tubbs Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kennon Tubbs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Valley City, UT 84119
- Reassigned Medicare billing, Utah enrollment
- 190 clinicians in this Medicare group
West Valley City, UT 84119
- Reassigned Medicare billing, Utah enrollment
- 188 clinicians in this Medicare group
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 84119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kennon Tubbs's NPI number?
The NPI number for Kennon Tubbs is 1700842804. It was assigned to this individual provider in the NPPES registry on April 26, 2006. The provider is also known as Dr. K C Tubbs MD.
Where is Kennon Tubbs located?
Kennon Tubbs practices at 2965 W 3500 S, West Valley City, UT 84119. The listed phone number is (801) 965-3600.
What is Kennon Tubbs's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kennon Tubbs enrolled in Medicare?
Yes. Kennon Tubbs is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kennon Tubbs's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kennon Tubbs reassigns Medicare benefits to 2 organizations: Granger Medical Clinic PC (West Valley City, UT) and Granger Medical Specialists LLC (West Valley City, UT). Each 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 Kennon Tubbs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kennon Tubbs accept?
Health plans from Molina Healthcare list Kennon Tubbs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kennon Tubbs was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kennon Christopher Tubbs, MD · NPI 1700842804
Family Medicine physician in West Valley City, Utah. Individual provider, active in the CMS NPPES registry since April 26, 2006.
## Identity
- **NPI:** 1700842804 (Entity type: Individual)
- **Enumerated:** April 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 344132-1205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2965 W 3500 S, West Valley City, UT 84119-3602
- **Phone:** (801) 965-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Granger Medical Clinic PC (NPI 1184657041, West Valley City, UT); Granger Medical Specialists LLC (NPI 1376159368, West Valley City, UT) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1700842804) · Data from the CMS NPPES public registry.