NPIMap

Individual provider Active NPI

Parker Capshaw Kohlfeld, MD

  • Family Medicine Physician
  • Cape Girardeau, MO
National Provider Identifier
1215389259
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019013306 Issued in MO
Practice address
817 S Mount Auburn Rd
Cape Girardeau, MO 63703-6383
Phone
(573) 519-4500
NPI assigned
Jul 1, 2016
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 2016023157 MO
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2019013306 MO Primary

Addresses

Primary practice location

817 S Mount Auburn Rd
Cape Girardeau, MO 63703-6383

Mailing address

817 S Mount Auburn Rd
Cape Girardeau, MO 63703-6383
Phone (573) 519-4500

Other practice location 1

110 N Hospital Dr
Fulton, MO 65251-2511
Phone (573) 642-5911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190819000542 MO Practitioner - Family Practice 9931491784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Facilities Rehab Services IncGroup PAC ID 3476679226, 152 clinicians
Cape Girardeau Behavioral Health LLCGroup PAC ID 8022423649, 3 clinicians

Practice addresses (Care Compare)

1102 Sikes Ave
Sikeston, MO 63801-5021

639 S Silver Springs Rd
Southeast Behavioral Hospital
Cape Girardeau, MO 63703-7539
Phone (573) 708-5000

817 S Mount Auburn Rd
Cape Girardeau, MO 63703-6383
Phone (573) 331-2600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC Single Specialty CurrentSince Aug 1, 2019 Accepting new patients
Cape Girardeau Behavioral Health LLC Single Specialty CurrentSince Apr 5, 2021 Accepting new patients
Southeast Hospital Single Specialty Current Accepting new patients
Ozarks Medical Center Single Specialty Past Accepting new patients

Locations

817 S Mount Auburn Rd
Cape Girardeau, MO 63703
Phone (573) 334-9637

817 S Mount Auburn Rd
Ste 200
Cape Girardeau, MO 63703
Phone (573) 519-4500

1 Hospital Dr
#3200
Columbia, MO 65212
Phone (573) 882-5605

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

639 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 708-5000

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 10

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1215389259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036383",
            "telephone_number": "573-519-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036383",
            "telephone_number": "573-519-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MO",
            "postal_code": "652512511",
            "country_code": "US",
            "telephone_number": "573-642-5911",
            "fax_number": "573-642-3015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLFELD",
        "first_name": "PARKER",
        "middle_name": "CAPSHAW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016023157",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019013306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.