KIMBERLY ANN HUERTH (MD) – Dermatology Physician, NPI 1437503687

KIMBERLY ANN HUERTH (MD) is a healthcare provider. based in Centerville, Utah. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 11765776-1205 (UT). The NPI Number for KIMBERLY ANN HUERTH (MD) is 1437503687

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN HUERTH (MD)
NPI
1437503687
Phone
(801) 298-3802
Address
1222 W Legacy Crossing Blvd Ste 200
Enumeration Date
13 April 2016
Last Update Date
11 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6057554100
Graduation Year
2016 (10 years ago)
PAC ID
5991092751
Group Practice PAC ID
6002729506
Professional Enrollment ID
I20250624000739
Address ID
SD577016022RA4150XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

197 DERMATOLOGY in UT

Provider Addresses for KIMBERLY ANN HUERTH (MD)

  • 1222 W Legacy Crossing Blvd Ste 200

    Centerville, UT 840145560

    Phone: (801) 298-3802

    Type: Location

  • 840, South Wood Street, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60608, United States

    #301

    CHICAGO, IL 606124325

    Phone: (312) 996-7836

    Type: Mailing

  • University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606127232

    Phone: (866) 600-2273

    Type: Location

  • 3592 W 9000 S

    WEST JORDAN, UT 840888859

    Phone: (801) 298-3802

    Type: Location

  • 611 S MAIN ST UNIT 812

    SALT LAKE CITY, UT 841114118

    Phone: (617) 304-9666

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $5,078.

Total Amount is formed as General ($5,078) + Research ($0) + Ownership ($0) = $5,078.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($3,392).

Total Amount

$5,078

General + Research + Ownership

Payments

34

Total payment records

General Amount

$5,078

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250425001856IDermatologyMTTBD
I20250624000739IDermatologySDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84014)

Loading plans...

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: 6002729506View full group profile
NameSpecialtyState
Family PracticeSD
-SD
Vascular Surgery, Thoracic Surgery, Thoracic Surgery, Cardiac SurgerySC
-SD
-SD
Cardiovascular Disease (Cardiology)OH
Nurse PractitionerPA
Nurse PractitionerSD
-SD
N E P H R O L O G YMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does KIMBERLY ANN HUERTH (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY ANN HUERTH (MD) uses 1437503687.
Does CMS list KIMBERLY ANN HUERTH (MD) as active?
Yes — KIMBERLY ANN HUERTH (MD) is active in the NPI listing used on this page.
What taxonomy line describes KIMBERLY ANN HUERTH (MD)?
For research purposes, treat KIMBERLY ANN HUERTH (MD) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does KIMBERLY ANN HUERTH (MD) list a practice location?
Patients near Centerville, Utah may find KIMBERLY ANN HUERTH (MD) in results; validate coverage separately.
Why does KIMBERLY ANN HUERTH (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

1222 W Legacy Crossing Blvd Ste 200
NPI: 1154513661
4700 EXCHANGE CT STE 110
NPI: 1629396841

DR. AUDREY KAY RUTHERFORD (MD)

Student in an Organized Health Care Education/Training Program
114 DEER CREEK DR
NPI: 1366946899