MR. JASON PETER KIDDE PA
NPI 1750634507
Physician Assistant in Salt Lake City, UT

Q: What is Jason Kidde's NPI number?

The NPI number for Jason Kidde is 1750634507. It was assigned to this individual provider in the NPPES registry on October 17, 2012.

Q: What is Jason Kidde's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Kidde was last updated on February 7, 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.

Active since October 17, 2012PECOS EnrolledAccepts Medicare Assignment

389 S 900 E, SALT LAKE CITY, UT 84102(385) 282-2600 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 7, 2023, Nov 3, 2021, Aug 13, 2020 (3 updates tracked since 2020).

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About Mr. Jason Peter Kidde Pa NPPES

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

MR. JASON PETER KIDDE PA (NPI 1750634507) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (9096169-1206) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750634507

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JASON PETER KIDDECredential: PA

Location Address389 S 900 ESalt Lake City, UT 84102-2310

Mailing Address389 S 900 ESalt Lake City, UT 84102-2310 · (385) 282-2600

Phone(385) 282-2600

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 17, 2012

Last NPPES UpdateFebruary 7, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2023

✔ NPI 1750634507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in UT · 9096169-1206✔ Licensed in NY · 016175

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

389 S 900 E, Salt Lake City, UT 84102

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Secondary Practice Locations 2

Location 1525 E 68th StNew York, NY 10065-4870 · Phone (212) 746-5454

Location 21371 E Gilmer DrSalt Lake City, UT 84105-1602 · Phone (801) 201-7482

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Health Plan of the Southwest, Inc., 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 and accepts Medicare assignment

Mr. Jason Peter Kidde Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931344173

PECOS Enrollment IDI20141220000478

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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

88 services87 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

85 services85 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

54 services52 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

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

$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

$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.

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.

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