Individual provider Active NPI

Kevin Kirkpatrick, MD

  • Emergency Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1164517330
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
99234 Issued in NM
Practice address
1115 Central Ave NE
PMG Emergency Medicine
Albuquerque, NM 87106-4927
Phone
(505) 841-1125
Fax
(505) 841-1737
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 99234 NM Primary

Addresses

Primary practice location

1115 Central Ave NE
PMG Emergency Medicine
Albuquerque, NM 87106-4927

Mailing address

PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20090528000595 NM Practitioner - Emergency Medicine 8729137476 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99234NMMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jun 30, 1999 Accepting new patients
Duke City Urgent Care CurrentSince Jan 21, 2015 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Jun 30, 1999 Accepting new patients
MD Urgent Care PC Past Accepting new patients

Locations

7920 Carmel Ave NE
Ste 1
Albuquerque, NM 87122
Phone (505) 828-4789

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

7200 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 814-1995

1648 Alameda Blvd NW
Albuquerque, NM 87114
Phone (505) 585-0085

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

Interoperability endpoints

  • Direct secure messaging: kkirkpatrick66944@direct.phs.org
  • FHIR API: https://api.platform.athenahealth.com/27050/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kevin.kirkpatrick.1@27050.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1164517330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-5356",
            "fax_number": "505-923-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 CENTRAL AVE NE",
            "address_2": "PMG EMERGENCY MEDICINE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064927",
            "telephone_number": "505-841-1125",
            "fax_number": "505-841-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "99234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.