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

Dr. Kyle Blake Fordham, MD

Individual provider Internal Medicine Physician · NPI 1972244929

Dr. Kyle Blake Fordham, MD is an Internal Medicine in Provo, Utah. Graduated from University of Utah School of Medicine in 2022, 4 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
4
Trained at
University of Utah School of Medicine
Licensed in
CA, UT
In the registry since
2022
Specialties on file
3
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

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-8310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11234 Anderson St, Loma Linda, CA 92354-2804 — (909) 558-4174

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 14203517-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence 14203517-1205 (UT)
Internal Medicine Physician Taxonomy 207R00000X · Licence A189549 (CA)

Record details

NPI number1972244929
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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