Dr Kyle Blake Fordham, MD in Provo, UT - Medicare Internal Medicine

Dr Kyle Blake Fordham, MD is a medicare enrolled "Hospitalist" physician in Provo, Utah. He went to University Of Utah School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 1034 N 500 W, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-8310.

Dr Kyle Blake Fordham is licensed to practice in Utah (license number 14203517-1205) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1972244929.

Contact Information

	Dr Kyle Blake Fordham, MD
	1034 N 500 W, Provo, UT 84604-3380
	(801) 357-8310
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kyle Blake Fordham
Gender	Male
Speciality	Internal Medicine
Experience	4 Years
Location	1034 N 500 W, Provo, Utah
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kyle Blake Fordham attended and graduated from University Of Utah School Of Medicine in 2022

NPI Data:

NPI Number: 1972244929
Provider Enumeration Date: 04/05/2022
Last Update Date: 01/08/2026

Medicare PECOS Information:

PECOS PAC ID: 0749709244
Enrollment ID: I20250528002254

Medical Identifiers

Medical identifiers for Dr Kyle Blake Fordham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972244929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	14203517-1205 (Utah)	Secondary
207R00000X	Internal Medicine	A189549 (California)	Secondary
208M00000X	Hospitalist	14203517-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Utah Valley Hospital	Provo, UT	Hospital

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kyle Blake Fordham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kyle Blake Fordham, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Dr Kyle Blake Fordham, MD 1034 N 500 W, Provo, UT 84604-3380 Ph: (801) 357-8310

Reviews and Comments

Hospitalist Doctors in Provo, UT

Mr. Jared Craig Kuntz, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310
Dr. Rex F Ripplinger, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1055 N 500 W, Provo, UT 84604 Phone: 801-429-8000
Scott Terry Maughan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310 Fax: 314-577-8100
Jamie Anne Prevedel Bowen, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310 Fax: 413-794-1767
Levi Daniel Franz, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8310
Nicholas Holdaway Bishop, MD, PHD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7291
Trevor Kent Smith, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7291

Dr Kyle Blake Fordham, MD - Medicare Internal Medicine in Provo, UT