NPIMap

Individual provider Active NPI

Lee Alan Kirsch, D.O.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1295990950
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4655 Issued in OK
Practice address
3212 SW 89TH St.
Suite 100
Oklahoma City, OK 73159
Phone
(405) 378-3300
Fax
(405) 378-3993
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4655 OK Primary

Addresses

Primary practice location

3212 SW 89TH St.
Suite 100
Oklahoma City, OK 73159

Mailing address

3212 SW 89TH St.
Suite 100
Oklahoma City, OK 73159
Phone (405) 378-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20120917000555 OK Practitioner - Family Practice 1052569035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

3212 SW 89TH St
Oklahoma City, OK 73159-7957

Hospital & facility affiliations

  • Elara Caring XX Home health agency, Oklahoma City, OK, CCN 377648
  • Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4655OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Physicians Group LLC Family Medicine CurrentSince May 1, 2016 Accepting new patients
Mercy Access LLC Family Medicine Past Accepting new patients
Community Hospital LLC Past Accepting new patients
Hpi Physicians LLC Family Medicine Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

3212 SW 89th St
Ste 100
Oklahoma City, OK 73159
Phone (405) 378-3300

Interoperability endpoints

  • Direct secure messaging: leekirsch@okss.allscriptsdirect.net
  • Direct secure messaging: lkirsch22840@direct.integrisok.com

Organizations & group practices 6

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.

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": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1295990950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 SW 89TH ST.",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73159",
            "telephone_number": "405-378-3300",
            "fax_number": "405-378-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SW 89TH ST.",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73159",
            "telephone_number": "405-378-3300",
            "fax_number": "405-378-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "LEE",
        "middle_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.