Kyle Blake Fordham, MD
NPI 1972244929ActiveIndividual· Hospitalist· Provo, UT
Hospitalist (MD) in Provo, Utah, trained at University of Utah School of Medicine (class of 2022). Enrolled in Medicare as practitioner - internal medicine.
Overview
| NPI | 1972244929 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 5, 2022 |
| Last updated in NPPES | Jan 8, 2026 |
| Certified by provider | Jan 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 14203517-1205 | UT |
| Internal Medicine | 207R00000X | 14203517-1205 | UT |
| Internal Medicine | 207R00000X | A189549 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (UT) |
|---|
Education and affiliations
| Medical school | University of Utah School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Internal Medicine |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Hospital affiliations
- American Fork HospitalAmerican Fork, UT
- Intermountain Health Sanpete Valley HospitalMount Pleasant, UT
- Intermountain Health Spanish Fork HospitalSpanish Fork, UT
- Intermountain Health Utah Valley HospitalProvo, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other hospitalists in Provo
- 1073002994
- 1447604038
- 1659909240
- 1669177143
- 1154370765
- 1235670514
- 1255893897
- 1326432253
- 1356667273
- 1568969772
- 1598854671
- 1730600651