Kenneth John Kirk, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

15217 Issued in OK

Practice address

6506 E 89TH PL
Tulsa, OK 74133-5009

Phone

(918) 494-2051

Fax

(918) 592-2377

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.26 of 100Reported as group

Quality

75.75

Improvement activities

40

Cost

69.63

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923
  Medicare reassignment NPD
• Access Medical Affordable Family Healthcare, LLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1588995534
  NPD
• Creek Nation Hospital & Clinics

  • Rehabilitation Hospital
  • Okmulgee, OK
  • NPI 1891197224
  NPD
• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD
• Dermatology & Allergy Solutions LLC

  • Multi-Specialty Clinic/Center
  • Broken Arrow, OK
  • NPI 1619371473
  NPD (past)
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1073521332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 E 89TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335009",
            "telephone_number": "918-494-2051",
            "fax_number": "918-592-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 E 89TH PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335009",
            "telephone_number": "918-494-2051",
            "fax_number": "918-592-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KENNETH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "15217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nanette Kirk, COTA/L
• Diane Constance Kirk, PSY.D.
• Grayson Elaine Kirk
• Joebob Kirk, D.O.
• Johnny Mark Kirk, LADC
• Mary C Kirk, MD
• Mikala Ruth Kirk
• Nikki Kirk
• Philip Michael Kirk
• Phillip James Kirk

• Geriatric Medicine (Internal Medicine) Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Geriatric Medicine (Internal Medicine) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.