Active NPI
Michael Kirkover, M.D.
- Family Medicine Physician
- Camdenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2021037529
- Practice address
- 1652 N Business Route 5
Camdenton, MO 65020-6872 - Phone
- (573) 346-4446
- NPI assigned
- Jun 14, 2016
- Last updated
- May 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-09064 | KS | |
| Family Medicine Physician | 207Q00000X | 2021037529 | MO | Primary |
Addresses
Primary practice location
1652 N Business Route 5
Camdenton, MO 65020-6872
Mailing address
PO Box 777
Richland, MO 65556-0777
Phone (877) 406-2662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Family Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
54 Hospital Dr
Osage Beach, MO 65065-3050
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.58 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Regional Health System | Current | Accepting new patients | |
| Lake Regional Medical Management, Inc. | Current | Accepting new patients | |
| Richland Medical Center, Inc. | Current | Accepting new patients | |
| Lake Regional Health System | Past | Accepting new patients |
Locations
416 S Maple St
Ste C
Eldon, MO 65026
Phone (573) 302-2764
755 Cowan Dr
Lebanon, MO 65536
Phone (417) 532-2805
3870 Columbia Ave
Osage Beach, MO 65065
Phone (573) 302-7490
54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772
54 Hospital Dr
Ste 201
Osage Beach, MO 65065
Phone (573) 302-2764
Interoperability endpoints
- lakeregionalobgynecology@mhccaremail.com
- michaelkirkover@mhccaremail.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lake Regional Medical Group
- Multi-Specialty Clinic/Center
- Osage Beach, MO
- NPI 1639134158
-
dba Central Ozark Medical Clinic
- Federally Qualified Health Center (FQHC)
- Osage Beach, MO
- NPI 1891931978
-
- Emergency Medical Services (Emergency Medicine) Physician
- Osage Beach, MO
- NPI 1053581454
-
- Rural Acute Care Hospital
- Osage Beach, MO
- NPI 1386619450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1366892986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 777",
"city": "RICHLAND",
"state": "MO",
"postal_code": "655560777",
"telephone_number": "877-406-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1652 N BUSINESS ROUTE 5",
"city": "CAMDENTON",
"state": "MO",
"postal_code": "650206872",
"telephone_number": "573-346-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKOVER",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-14",
"last_updated": "2022-05-27",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "94-09064",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2021037529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camdenton, MO
- Thomas J Kennedy, DDS
- Carolyn Kenney, RN
- James A. Kinnard
- Kirby J. Robinson, DDS of Missouri, LLC (Affordable Dentures & Implants - Camdenton)
- Taren Kirk
- Brett D Koons, O.D.
- Anton Kosov, M.D.
- Terry S Krantz, RN FNP
- Lake Area Citizens' Advisory Board, Inc. (Lake Area Counseling & Behavioral Health)
- Lake Area Industries, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.