Active NPI
Cameron Wade Kirk, MD
- Internal Medicine Physician
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01096650A
- Practice address
- 1111 Ronald Reagan Pkwy
Avon, IN 46123-7085 - Phone
- (317) 217-3000
- NPI assigned
- Apr 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 59623 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 01096650A | IN | Primary |
Addresses
Primary practice location
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Mailing address
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 217-3000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CKIRK@DIRECT.IUHEALTH.ORG | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Kentucky College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 N Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 944-7744
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01096650A | IN | MD | Internal Medicine Physician |
| 59623 | KY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Internal Medicine | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| University of Kentucky | Internal Medicine | Current | Accepting new patients |
| University of Kentucky | Past | Accepting new patients |
Locations
1111 Ronald Reagan Pkwy
Avon, IN 46123
Phone (317) 217-3000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Interoperability endpoints
- ckirk@direct.iuhealth.org
- ckirk125234@ukhcdirect.org
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
Internal Medicine
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1306428842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 RONALD REAGAN PKWY",
"city": "AVON",
"state": "IN",
"postal_code": "461237085",
"telephone_number": "317-217-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 RONALD REAGAN PKWY",
"city": "AVON",
"state": "IN",
"postal_code": "461237085",
"telephone_number": "317-217-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "CAMERON",
"middle_name": "WADE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-23",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "59623",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01096650A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CKIRK@DIRECT.IUHEALTH.ORG",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1111 Ronald Reagan Pkwy",
"city": "Avon",
"state": "IN",
"country_code": "US",
"postal_code": "461237085",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.