NPIMap

Individual provider Active NPI

Kirk S Hinkley IV, MD

  • General Practice Physician
  • Hallstead, PA
National Provider Identifier
1366484198
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD446951 Issued in PA
Practice address
25059 State Route 11 Ste a
Hallstead, PA 18822-8831
Phone
(570) 879-8779
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 260513 NY
Emergency Medicine Physician 207P00000X 87766 OH
Emergency Medicine Physician 207P00000X MD446951 PA
General Practice Physician 208D00000X MD446951 PA Primary

Addresses

Primary practice location

25059 State Route 11 Ste a
Hallstead, PA 18822-8831

Mailing address

2872 Turnpike St
Susquehanna, PA 18847-2771
Phone (570) 853-3135

Other identifiers 1

IdentifierTypeStateIssuer
1026505170008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110804000481 NY Practitioner - Emergency Medicine 6709889595 Reassigns benefits to 1 organization
I20130618000070 PA Practitioner - Emergency MedicinePractitioner - General Practice 6709889595 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Pennsylvania State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnes-Kasson County HospitalGroup PAC ID 1355318635, 12 clinicians

Practice addresses (Care Compare)

25059 State Route 11
Hallstead, PA 18822-8831
Phone (570) 853-3135

2872 Turnpike St
Susquehanna, PA 18847-2771
Phone (570) 853-3135

Hospital & facility affiliations

  • Personal Home Healthcare and Hospice Home health agency, Blakely, PA, CCN 398192
  • Hospice of the Sacred Heart Hospice, Moosic, PA, CCN 391656
  • Barnes-Kasson County Hospital Hospital, Susquehanna, PA, CCN 391309
  • Endless Mountains Health Systems Hospital, Montrose, PA, CCN 391306
  • Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011
  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394
  • Barnes-Kasson County Hospital Nursing home, CCN 39Z309
  • Barnes-Kasson County Hospital Nursing home, Susquehanna, PA, CCN 395285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87766OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnes-Kasson County Hospital CurrentSince Sep 10, 2019 Accepting new patients
Exigence Medical of Binghamton PLLC CurrentSince Aug 3, 2018 Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine Current Accepting new patients
Barnes-Kasson County Hospital CurrentSince Sep 10, 2019 Accepting new patients
Barnes-Kasson County Hospital Past Accepting new patients
Greenville Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
Grandiflora Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

25059 State Route 11
Ste A
Hallstead, PA 18822
Phone 5708533135224

433 Church St
New Milford, PA 18834
Phone (570) 465-4500

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

2872 Turnpike St
Susquehanna, PA 18847
Phone (570) 853-3135

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 12

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 8

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1366484198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 TURNPIKE ST",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472771",
            "telephone_number": "570-853-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25059 STATE ROUTE 11 STE A",
            "city": "HALLSTEAD",
            "state": "PA",
            "postal_code": "188228831",
            "telephone_number": "570-879-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLEY",
        "first_name": "KIRK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "260513",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "87766",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD446951",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD446951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026505170008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallstead, PA

Sources for this page

Verify at the official NPI Registry.