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DR. KENNON CHRISTOPHER TUBBS MD
NPI 1700842804
Family Medicine in West Valley City, UT

Active since April 26, 2006PECOS Enrolled
2965 W 3500 S, WEST VALLEY CITY, UT 84119(801) 965-3600 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, Nov 14, 2016 (2 updates tracked since 2016).

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

NPI1700842804
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNON CHRISTOPHER TUBBSCredential: MD
Location Address2965 W 3500 SWest Valley City, UT 84119-3602
Mailing Address7181 S Campus View Dr Ste 200West Jordan, UT 84084-4312 · (801) 965-3505
Phone(801) 965-3600
Sole ProprietorYes
Enumeration DateApril 26, 2006
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1700842804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 344132-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2965 W 3500 S, West Valley City, UT 84119
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Other Names 1

Other Name (5)Dr. K C Tubbs Md

Secondary Practice Location 1

Location 113584 S Carolina Hill CtDraper, UT 84020-7726 · Phone (801) 502-3473 · Fax (801) 501-9573

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kennon Christopher Tubbs 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 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.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
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.

DR. CASEY JOSEPH HENICH MD
Family Medicine
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 965-3600
WILLIAM H BURLEIGH DPM
Podiatrist
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 965-3600
KRISTEN GULOCK NP
Nurse Practitioner
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 965-3424
DR. ROBERT H CRAWFORD MD
Family Medicine
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 965-3600
DR. KOMAL RASTOGI MD
Psychiatry & Neurology (Neurology)
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 965-3600
ASHLEY JOHNSON PA-C
Physician Assistant (Medical)
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 965-3600
JEFFREY J CARDON MD
Family Medicine
2965 W 3500 S
WEST VALLEY CITY, UT 84119
Salt Lake County (801) 965-3600
JULIEANNE RIGBY COX FNP-C
Nurse Practitioner (Family)
2965 W 3500 S
WEST VALLEY, UT 84119
Salt Lake County (801) 965-3600

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.

What insurance does Kennon Tubbs accept?

Health plans from Molina Healthcare and Select Health 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.