Active NPI
Barsun Kirkman, MD
- Family Medicine Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036176651
- Practice address
- 300 W Oak St Ste 200
Carbondale, IL 62901-1400 - Phone
- (618) 536-6621
- Fax
- (618) 453-1102
- NPI assigned
- Apr 24, 2023
- Last updated
- Dec 22, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036176651 | IL | Primary |
Addresses
Primary practice location
300 W Oak St Ste 200
Carbondale, IL 62901-1400
Mailing address
600 E Campus Dr Apt 16D
Carbondale, IL 62901-3871
Phone (618) 536-6621
Other practice location 1
1920 100th St SE Ste B
Everett, WA 98208-3832
Phone (425) 312-0202
Other practice location 2
4111 Alderwood Mall Blvd
Lynnwood, WA 98036-6765
Phone (425) 977-2560
Other practice location 3
9710 State Ave
Marysville, WA 98270-2232
Phone (360) 653-1724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250605000900 | IL | Order and Referring Only - Family Practice | 0547601007 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036176651 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of Southern Illinois University | Current | Accepting new patients |
Interoperability endpoints
- barsunkirkman@siusm.allscriptsdirect.net
- bkirkman721391@direct.multicare.org
Organizations & group practices 1
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.
-
dba Carbondale Care A Van
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1154018745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E CAMPUS DR APT 16D",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013871",
"telephone_number": "618-536-6621",
"fax_number": "618-453-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W OAK ST STE 200",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011400",
"telephone_number": "618-536-6621",
"fax_number": "618-453-1102"
}
],
"practiceLocations": [
{
"address_1": "1920 100th St SE Ste B",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982083832",
"country_code": "US",
"telephone_number": "425-312-0202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4111 Alderwood Mall Blvd",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980366765",
"country_code": "US",
"telephone_number": "425-977-2560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9710 State Ave",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "WA",
"postal_code": "982702232",
"country_code": "US",
"telephone_number": "360-653-1724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKMAN",
"first_name": "BARSUN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-24",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036176651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.