NPIMap

Individual provider Active NPI

Kenan Kirkendall, D.O.

  • Family Medicine Physician
  • Woodward, OK
National Provider Identifier
1316949563
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3310 Issued in OK
Practice address
4900 Oklahoma Ave
Woodward, OK 73801-3713
Phone
(580) 254-5316
Fax
(580) 256-6508
NPI assigned
Jun 1, 2005
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3310 OK Primary
Internal Medicine Physician 207R00000X 3310 OK
Pediatrics Physician 208000000X 3310 OK

Addresses

Primary practice location

4900 Oklahoma Ave
Woodward, OK 73801-3713

Mailing address

4900 Oklahoma Ave
Woodward, OK 73801-3713
Phone (580) 254-5316

Other identifiers 1

IdentifierTypeStateIssuer
100256120BMedicaidOK

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
I20100626000119 OK Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric MedicinePractitioner - Hospitalist 7214068857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, Hospitalist, Pediatric Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Kenan Kirkendall, D.O., PCGroup PAC ID 5991966590, 2 clinicians

Practice addresses (Care Compare)

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

4900 Oklahoma Ave
Woodward, OK 73801-3713

4900 Oklahoma Ave
Woodward, OK 73801-3719
Phone (580) 254-5316

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as individual
Quality
90.02
Improvement activities
40
Cost
50.17

Merit-based Incentive Payment System (MIPS)

Final score
93.31 of 100Reported as group
Improvement activities
40
Cost
75.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3310OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Dec 3, 2024 Accepting new patients
Hmrok LLC Family Medicine CurrentSince Dec 26, 2023 Accepting new patients
Summit Medical Center Past Accepting new patients
Integris Health Woodward Hospital Inc Past Accepting new patients

Locations

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: kenan.kirkendall.1@5516.direct.athenahealth.com
  • Direct secure messaging: kkirkend@yourcarecommunity.org

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1316949563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 OKLAHOMA AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013713",
            "telephone_number": "580-254-5316",
            "fax_number": "580-256-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OKLAHOMA AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013713",
            "telephone_number": "580-254-5316",
            "fax_number": "580-256-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKENDALL",
        "first_name": "KENAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3310",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "3310",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "3310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256120B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

Verify at the official NPI Registry.