NPIMap

Individual provider Active NPI

Karen A Sylvara, DO

  • Family Medicine Physician
  • Kirksville, MO
National Provider Identifier
1003812090
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
101191 Issued in MO
Practice address
502 S Baltimore St
Kirksville, MO 63501-3728
Phone
(660) 665-5570
Fax
(660) 665-2898
NPI assigned
Jun 23, 2005
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 101191 MO Primary

Addresses

Primary practice location

502 S Baltimore St
Kirksville, MO 63501-3728

Mailing address

502 S Baltimore St
Kirksville, MO 63501-3728
Phone (660) 665-5570

Other identifiers 1

IdentifierTypeStateIssuer
243370202MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012001007 MO Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency Medicine 7214996560 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General John J Pershing Memorial Hospital AssociationGroup PAC ID 2860306750, shared by 5 NPIs, 20 clinicians

Practice addresses (Care Compare)

130 E Lockling St
Brookfield, MO 64628-2337

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
General John J Pershing Memorial Hospital Association CurrentSince Jan 1, 1994 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince May 1, 2009 Accepting new patients
Macon County Samaritan Hospital CurrentSince Mar 1, 2023 Accepting new patients
Ripley Emergency Group, LLC CurrentSince Apr 11, 2023 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jan 1, 1994 Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients

Locations

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Meadville Medical ClinicMeadville, MO, CCN 268682 Rural health clinic Corporate Director
Operational/Managerial Control		 Jan 1, 2022
Jul 10, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1003812090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013728",
            "telephone_number": "660-665-5570",
            "fax_number": "660-665-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S BALTIMORE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013728",
            "telephone_number": "660-665-5570",
            "fax_number": "660-665-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVARA",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "101191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243370202",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.