Clem L Kirkland, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35041558 Issued in OH

Practice address

5928 Springboro Pike
Dayton, OH 45449-3250

Phone

(937) 433-0220

Fax

(937) 434-4405

NPI assigned

Oct 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Family Practice

Education

Baylor College of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clem Kirkland, M.D., IncGroup PAC ID 5193758951, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/4WhyRArSk37mMNgPi8abRFnIJRbnJPpW/

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.

• Clem Kirkland, M.D., Inc

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1740461763
  Medicare reassignment Care Compare group NPD Authorized official
• Midwest Ultrasound, Inc.

  • Sonography Specialist/Technologist Cardiovascular
  • Cincinnati, OH
  • NPI 1447203849
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1356431639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 SPRINGBORO PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493250",
            "telephone_number": "937-433-0220",
            "fax_number": "937-434-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 SPRINGBORO PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454493250",
            "telephone_number": "937-433-0220",
            "fax_number": "937-434-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "CLEM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35041558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Kirby, APRN
• Kathryn E Kirk, PA-C
• Kristina Jill Kirk, MD
• Malinda Kirk, AAS, LCDCII
• Sierra Kirk
• Courtney M Kirkland, DO
• Eugene Brent Kirkland, MD
• Jeanne Marie Kirkland, M.D.
• Sherry Lee Kirkland, LPN
• Carmen Kirkpatrick, LSW

• Family Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.

Verify at the official NPI Registry.