Active NPI
Del T Kirkpatrick, MD
- Anesthesiology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME165018
- Practice address
- 1000 Woodcock Rd Ste 120
Orlando, FL 32803-3509 - Phone
- (407) 792-1968
- Fax
- (407) 641-5179
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35.098308 | OH | |
| Pediatric Anesthesiology Physician | 207LP3000X | 35.098308 | OH | |
| Anesthesiology Physician | 207L00000X | ME165018 | FL | Primary |
Addresses
Primary practice location
1000 Woodcock Rd Ste 120
Orlando, FL 32803-3509
Mailing address
1168 Ripplecreek CT
Dayton, OH 45458-3228
Phone (240) 750-4209
Other practice location 1
1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-3477
Other practice location 2
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone (616) 364-4200
Other practice location 3
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-3477
Other practice location 4
7690 First Pl Ste E
Bedford, OH 44146-6725
Phone (216) 539-8253
Other practice location 5
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119821400 | Medicaid | FL | |
| 0060672 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME165018 | FL | MD | Anesthesiology Physician |
| 35.098308 | OH | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Children'S Specialty Physicians, Inc. | Current | Accepting new patients | |
| Dayton Children'S Specialty Physicians, Inc. | Current | Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
| Mayo Clinic | Past | Accepting new patients | |
| Meridian Anesthesia Practice, L.L.C | Past | Accepting new patients | |
| Regina Medical Center | Past | Accepting new patients | |
| Oregon Anesthesiology Group PC | Anesthesiology | Past | Accepting new patients |
| Pediatric Anesthesia Associates of Dayton, Inc. | Anesthesiology | Past | Accepting new patients |
Locations
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330
3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Dayton, OH
- NPI 1225192610
-
- Pediatrics Physician
- Dayton, OH
- NPI 1780467555
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Specialist
- Olney, MD
- NPI 1942248653
-
- Anesthesiology Physician
- Portland, OR
- NPI 1477527786
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1447217096
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1326066085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1013969229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1168 RIPPLECREEK CT",
"city": "DAYTON",
"state": "OH",
"postal_code": "454583228",
"telephone_number": "240-750-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WOODCOCK RD STE 120",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033509",
"telephone_number": "407-792-1968",
"fax_number": "407-641-5179"
}
],
"practiceLocations": [
{
"address_1": "1 Childrens Plz",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454041815",
"country_code": "US",
"telephone_number": "937-641-3477",
"fax_number": "937-641-5410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Michigan St NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032560",
"country_code": "US",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 W Tech Rd",
"address_purpose": "LOCATION",
"city": "Miamisburg",
"state": "OH",
"postal_code": "453420955",
"country_code": "US",
"telephone_number": "937-641-3477",
"fax_number": "937-641-5410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7690 First Pl Ste E",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "OH",
"postal_code": "441466725",
"country_code": "US",
"telephone_number": "216-539-8253",
"fax_number": "216-302-3416",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Evergreen Dr NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495259493",
"country_code": "US",
"telephone_number": "616-364-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "DEL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35.098308",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "OH",
"license": "35.098308",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME165018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119821400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0060672",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.