Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Michael Cummisford, MD

Individual provider Anesthesiology Physician · NPI 1194847723

Dr. Kevin Michael Cummisford, MD is an Anesthesiology in Murray, Utah. Graduated from Medical College of Wisconsin in 2004, 22 years ago. Practices with Mountain West Anesthesia LLC, a 265-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
22
Trained at
Medical College of Wisconsin
Licensed in
MA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5121 S Cottonwood Street Intermountain Medical Ctr
Murray, UT 84157
Phone: (801) 507-5248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 225977 (MA)

Record details

NPI number1194847723
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2007
Last updated in NPPESOctober 15, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2004 (22 years in practice)
Group practice Mountain West Anesthesia Llc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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