DR. PHILIP A. KITHAS (M.D., PH.D) – Geriatric Medicine (Internal Medicine) Physician, NPI 1124059837

DR. PHILIP A. KITHAS (M.D., PH.D) is a healthcare provider. based in Salt lake city, Utah. specializing in GERIATRIC MEDICINE. They hold the professional credentials M.D., PH.D. They hold a License No. 185130-1205 (UT). The NPI Number for DR. PHILIP A. KITHAS (M.D., PH.D) is 1124059837

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP A. KITHAS (M.D., PH.D)
NPI
1124059837
Phone
(801) 583-7309
Address
1130 OAK HILLS WAY
Enumeration Date
5 July 2006
Last Update Date
3 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
8012132995
Graduation Year
1990 (36 years ago)
PAC ID
3375633654
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20071227000117
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
pkithas89202@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

21 GERIATRIC MEDICINE in UT

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Provider Addresses for DR. PHILIP A. KITHAS (M.D., PH.D)

  • 1130, Oak Hills Way, East Bench, Salt Lake City, Salt Lake County, Utah, 84108, United States

    SALT LAKE CITY, UT 841082026

    Phone: (801) 583-7309

    Type: Mailing

  • 500, Foothill Drive, Salt Lake City, Salt Lake County, Utah, 84148, United States

    SALT LAKE CITY, UT 841480001

    Phone: (801) 582-1565

    Fax: (801) 584-1298

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071227000117IGeriatric MedicineUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes5042$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 84108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

How is DR. PHILIP A. KITHAS (M.D., PH.D) identified in CMS data?
CMS-hosted NPPES data lists DR. PHILIP A. KITHAS (M.D., PH.D) with NPI 1124059837.
Is DR. PHILIP A. KITHAS (M.D., PH.D) listed as active for patients and plans?
The listing shows DR. PHILIP A. KITHAS (M.D., PH.D) as active in the NPI system.
What healthcare role does DR. PHILIP A. KITHAS (M.D., PH.D) hold?
Scheduling teams often label DR. PHILIP A. KITHAS (M.D., PH.D) under Geriatric Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What area does DR. PHILIP A. KITHAS (M.D., PH.D) serve?
DR. PHILIP A. KITHAS (M.D., PH.D)'s listing highlights Salt Lake City, Utah; more addresses can appear in NPPES.
Is the information about DR. PHILIP A. KITHAS (M.D., PH.D) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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