Individual provider Active NPI

Daniel Wayne Kirk, DPM

  • Podiatrist
  • Bluffton, OH
National Provider Identifier
1093838575
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003451 Issued in OH
Practice address
148 N Main St
Bluffton, OH 45817-1246
Phone
(419) 358-3050
NPI assigned
Apr 9, 2007
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003451 OH Primary

Addresses

Primary practice location

148 N Main St
Bluffton, OH 45817-1246

Mailing address

148 N Main St
Bluffton, OH 45817-1246
Phone (419) 358-3050

Other identifiers 1

IdentifierTypeStateIssuer
2786178MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071002000008 OH Practitioner - Podiatry 0547355810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians
M E D F Physicians CorporationGroup PAC ID 9133109903, 47 clinicians

Practice addresses (Care Compare)

740 Commerce Dr
Suite a
Perrysburg, OH 43551-5276
Phone 24852821166

950 S Main St
Suite a
Celina, OH 45822-2467
Phone (419) 586-9657

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
58.53
Promoting interoperability
100
Improvement activities
40
Cost
86.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of skin lesions1-10
Removal of nail tissue1941
Removal or shaving of skin growth59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003451OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
M E D F Physicians Corporation CurrentSince Dec 1, 2025 Accepting new patients
Mobile Medical Inc Current Accepting new patients
Mobile Medical, Inc. Podiatrist Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

950 S Main St
Ste 10
Celina, OH 45822
Phone (419) 586-1118

950 S Main St
Ste A
Celina, OH 45822
Phone (419) 586-9657

830 W Main St
Coldwater, OH 45828
Phone (419) 678-5271

4463 State Route 66
Minster, OH 45865
Phone (419) 586-7874

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

Interoperability endpoints

  • Direct secure messaging: dkirk442309@direct.osumc.edu

Organizations & group practices 5

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": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1093838575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 N MAIN ST",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458171246",
            "telephone_number": "419-358-3050",
            "fax_number": "419-358-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N MAIN ST",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458171246",
            "telephone_number": "419-358-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "DANIEL",
        "middle_name": "WAYNE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2786178",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, OH

Sources for this page

Verify at the official NPI Registry.