Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972244929 Individual Practitioner Male Practitioner

Dr. Kyle Blake Fordham , MD

Hospitalist • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Fordham, MD is a certified Hospitalist practicing in Provo, UT. With approximately 4 years of clinical experience since graduating from University Of Utah School Of Medicine in 2022, Dr. Fordham delivers high-quality medical care to the local community at 1034 N 500 W.

Dr. Fordham is affiliated with Ihc Health Services Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1034 N 500 W

Provo, UT 846043380

Telephone 8013578310
Associated Practice Facility / Clinic
🏢 Ihc Health Services, Inc Facility NPI 1235189002

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Provo, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -9.9 yrs vs City Avg
City Avg: 13.9 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
25 Specialists

Practicing in Provo, UT (288 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fordham (4 Years) 4 Yrs
Provo Specialty Average (13.9 Years) 13.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-08
Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License UT 14203517-1205

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License UT 14203517-1205

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License CA A189549

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Ihc Health Services Inc

1034 N 500, Provo, UT 846043380

Phone: 8013578879

Secondary Practice Locations

11234 Anderson St

Loma Linda, CA 923542804

Phone: 9095584174

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Dr. Albert Rivero , MD

Internal Medicine

NPI 1053668806

Doctor of Medicine (M.D.)

NPI 1073002994

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Jolley , MD

Internal Medicine

NPI 1114197159

Doctor of Medicine (M.D.)

Dr. Corey Chipman , MD

Internal Medicine

NPI 1134316037

Doctor of Medicine (M.D.)

NPI 1154370765

Doctor of Medicine (M.D.)

NPI 1174987374

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2026

Internal Medicine (License #14203517-1205 in UT)

📍
Updated Practice Location April 16, 2025

Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013578310)

📍
Updated Business Mailing Address April 16, 2025

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

📍
Updated Business Mailing Address October 16, 2024

Registered at 185 N PLYMOUTH WAY, SAN BERNARDINO, CA 924084121 (Tel: 3853291515)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2024

Internal Medicine (License #A189549 in CA)

NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2022

Registered at 11234 ANDERSON ST, LOMA LINDA, CA 923542804 (Tel: 9095584174)

📍
Updated Business Mailing Address April 05, 2022

Registered at 11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 923542804 (Tel: 9095584174)

👤
Provider Name / Credentials Updated April 05, 2022

Recorded as KYLE FORDHAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972244929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: January 08, 2026
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.