Larry H Killebrew, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

08371 Issued in MS

Practice address

4500 13TH St
Gulfport, MS 39501-2515

Phone

(228) 865-3151

Fax

(228) 867-4124

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• Keystone Medical Services of Ms, Inc

  • Emergency Medicine Physician
  • Hazlehurst, MS
  • NPI 1174691059
  Medicare reassignment NPD
• RH Emergency Medicine of Highland Community LLC

  • Emergency Medicine Physician
  • Picayune, MS
  • NPI 1033987946
  Medicare reassignment NPD
• RH Emergency Medicine of Jefferson Davis LLC

  • Emergency Medicine Physician
  • Prentiss, MS
  • NPI 1356103527
  Medicare reassignment NPD
• RH Emergency Medicine of Marion General LLC

  • Emergency Medicine Physician
  • Columbia, MS
  • NPI 1841064110
  Medicare reassignment NPD
• RH Emergency Medicine of Walthall General LLC

  • Emergency Medicine Physician
  • Tylertown, MS
  • NPI 1336901511
  Medicare reassignment NPD
• RH Hospitalist Medicine of Jefferson Davis LLC

  • Hospitalist Physician
  • Prentiss, MS
  • NPI 1174385355
  Medicare reassignment NPD
• RH Hospitalist Medicine of Walthall General LLC

  • Hospitalist Physician
  • Tylertown, MS
  • NPI 1053173237
  Medicare reassignment NPD
• Singing River Gulfport

  • Multi-Specialty Clinic/Center
  • Gulfport, MS
  • NPI 1861010159
  Medicare reassignment NPD
• Grandiflora Emergency Physicians

  • Emergency Medicine Physician
  • Biloxi, MS
  • NPI 1659320745
  NPD (past)
• Baton Rouge Radiology Group Inc

  • Diagnostic Radiology Physician
  • Baton Rouge, LA
  • NPI 1407880339
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265514301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "228-865-3151",
            "fax_number": "228-867-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "228-865-3151",
            "fax_number": "228-867-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEBREW",
        "first_name": "LARRY",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "08371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119198",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdul Rehman Shahid Khan, MD
• Kids and Tummies LLC
• Moses Kiehl
• Kih Advanced Kare, LLC
• Erin Kijonka, NP
• Cathy Young Kim, NP
• Jhinho None Kim, M.D.
• Kimila Deflanders LCSW LLC
• Joy M Kiner
• Angelle N King

• Surgery Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.