Individual provider Active NPI

Kevin Lee Kirk, DO

  • Orthopaedic Foot and Ankle Surgery Physician
  • San Antonio, TX
National Provider Identifier
1316910490
Registry record updated Nov 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
N0893 Issued in TX
Practice address
1200 Brooklyn Ave
Suite 320
San Antonio, TX 78212-4803
Phone
(210) 804-5690
Fax
(210) 804-5693
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X H0063452 MD
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X N0893 TX Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 25MB09228900 NJ

Addresses

Primary practice location

1200 Brooklyn Ave
Suite 320
San Antonio, TX 78212-4803

Mailing address

1200 Brooklyn Ave
Suite 320
San Antonio, TX 78212-4803
Phone (210) 804-5690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091106000177 TX Practitioner - Orthopedic Surgery 2961409651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians

Practice addresses (Care Compare)

19138 US Hwy 281 N
San Antonio, TX 78258-4988
Phone (210) 804-5400

2829 Babcock Rd
Suite 700
San Antonio, TX 78229-6015
Phone (210) 804-5400

400 Concord Plaza Dr
Suite 300
San Antonio, TX 78216-6991
Phone (210) 804-5400

Hospital & facility affiliations

  • American Medical Home Health Services - San Antonio LLC Home health agency, San Antonio, TX, CCN 457907
  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0063452MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP Orthopaedic Surgery CurrentSince Oct 1, 2014 Accepting new patients
The San Antonio Orthopaedic Group, LLP Orthopaedic Surgery CurrentSince Oct 1, 2014 Accepting new patients
Greater Austin Allergy, Asthma & Immunology PA Past Accepting new patients
Trinity Regional Medical Center Orthopaedic Surgery Past Accepting new patients

Locations

3327 Research Plz
Ste 215
San Antonio, TX 78235
Phone (210) 396-5285

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

2829 Babcock Rd
Ste 700
San Antonio, TX 78229
Phone (210) 396-5270

3327 Research Plz
Ste 404
San Antonio, TX 78235
Phone (210) 756-9961

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

5000 Schertz Pkwy
Ste 600
Schertz, TX 78154
Phone (210) 804-5672

Interoperability endpoints

  • Direct secure messaging: kevin.kirk.1@94.direct.athenahealth.com
  • Direct secure messaging: kevin.kirk.1@3199.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.

Hospital & facility affiliations 2

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1316910490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE",
            "address_2": "SUITE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124803",
            "telephone_number": "210-804-5690",
            "fax_number": "210-804-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKLYN AVE",
            "address_2": "SUITE 320",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124803",
            "telephone_number": "210-804-5690",
            "fax_number": "210-804-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "H0063452",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "TX",
            "license": "N0893",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NJ",
            "license": "25MB09228900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.