Active NPI
Vincent Ellis Kirkpatrick, M.D.
- Surgery Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME133362
- Practice address
- 89 W Copeland Dr
Orlando, FL 32806-2002 - Phone
- (321) 843-8900
- Fax
- (352) 629-3145
- NPI assigned
- May 24, 2010
- Last updated
- Jan 16, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Surgery Physician | 208600000X | A121737 | CA | |
| Surgery Physician | 208600000X | ME133362 | FL | Primary |
Addresses
Primary practice location
89 W Copeland Dr
Orlando, FL 32806-2002
Mailing address
89 W Copeland Dr
Orlando, FL 32806-2002
Phone (321) 843-8900
Other practice location 1
86 W Underwood St Ste 201
Orlando, FL 32806-1110
Phone (321) 841-5142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022424000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of California, Irvine, California College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 W Willow Ave
Suite 305
Visalia, CA 93291-6238
Phone (559) 774-0124
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.17 of 100
- Quality
- 70.95
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 57.94
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121737 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Kaweah Delta Health Care District | Past | Accepting new patients |
Locations
202 W Willow Ave
Ste 305
Visalia, CA 93291
Phone (559) 622-8687
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
Organizations & group practices 2
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.
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaweah Health Medical Center
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1326367848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 W COPELAND DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062002",
"telephone_number": "321-843-8900",
"fax_number": "352-629-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 W COPELAND DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062002",
"telephone_number": "321-843-8900",
"fax_number": "352-629-3145"
}
],
"practiceLocations": [
{
"address_1": "86 W Underwood St Ste 201",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061110",
"country_code": "US",
"telephone_number": "321-841-5142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "VINCENT",
"middle_name": "ELLIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-24",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A121737",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME133362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022424000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.