NPIMap

Individual provider Active NPI

Kenneth T Kirton Jr., MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Freeman, SD
National Provider Identifier
1154392249
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
3572 Issued in SD
Practice address
804 S Walnut St
Freeman, SD 57029-0900
Phone
(605) 925-4219
NPI assigned
Jan 28, 2006
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3572 SD
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 3572 SD Primary

Addresses

Primary practice location

804 S Walnut St
Freeman, SD 57029-0900

Mailing address

PO Box 900
Freeman, SD 57029-0900
Phone (605) 925-4219

Other identifiers 2

IdentifierTypeStateIssuer
5608780MedicaidSD
5608782MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20051202000274 SD Practitioner - Hospice/Palliative CarePractitioner - Family Practice 2264464361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

640 Flormann St
Rapid City, SD 57701-4679
Phone (605) 755-3300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Avera Queen of Peace CurrentSince May 7, 2013 Accepting new patients
Avera Queen of Peace CurrentSince May 7, 2013 Accepting new patients
Rural Medical Clinics Current Accepting new patients
Hand County Memorial Hospital Past Accepting new patients
Wellspring Wholistic Care Center Past Accepting new patients

Locations

804 S Walnut St
Freeman, SD 57029
Phone (605) 925-4000

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

640 Flormann St
Rapid City, SD 57701
Phone (605) 341-3140

Interoperability endpoints

  • Direct secure messaging: kenneth.kirton@avera.sdhealthlink.net

Organizations & group practices 10

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1154392249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 900",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "570290900",
            "telephone_number": "605-925-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S WALNUT ST",
            "city": "FREEMAN",
            "state": "SD",
            "postal_code": "570290900",
            "telephone_number": "605-925-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRTON",
        "first_name": "KENNETH",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "3572",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "SD",
            "license": "3572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5608780",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5608782",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeman, SD

Sources for this page

Verify at the official NPI Registry.