MICHAEL D KILLPACK (MD) – Internal Medicine Physician, NPI 1588714091
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHAEL D KILLPACK (MD)
24 S 1100 E STE 310
SALT LAKE CITY, UT 841021500
Phone: (801) 328-1260
Fax: (801) 350-4361
Type: Mailing
1060, 100 South, East Central, Salt Lake City, Salt Lake County, Utah, 84102, United States
SUITE L10
SALT LAKE CITY, UT 841022915
Phone: (801) 328-1260
Fax: (801) 350-4361
Type: Mailing
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: 2008-08-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080819000127 | I | Internal Medicine | UT | TBD |
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.
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 84102)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| Infectious Disease | UT | |
| Family Practice | UT | |
| Internal Medicine | UT | |
| Family Practice | UT | |
| Internal Medicine, Hospitalist | UT | |
| Family Practice | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| Infectious Disease | UT | |
| Internal Medicine | UT |
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