Individual provider Active NPI

Michael Kirkover, M.D.

  • Family Medicine Physician
  • Camdenton, MO
National Provider Identifier
1366892986
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2021037529 Issued in MO
Practice address
1652 N Business Route 5
Camdenton, MO 65020-6872
Phone
(573) 346-4446
NPI assigned
Jun 14, 2016
Last updated
May 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929001119 MO Practitioner - Family Practice 2365735263 Reassigns benefits to 2 organizations

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
Lake Regional Health SystemGroup PAC ID 9133026776, 132 clinicians

Practice addresses (Care Compare)

54 Hospital Dr
Osage Beach, MO 65065-3050

Merit-based Incentive Payment System (MIPS)

Final score
89.58 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Lake Regional Health System Current Accepting new patients
Lake Regional Medical Management, Inc. CurrentSince Sep 1, 2024 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

  • Direct secure messaging: lakeregionalobgynecology@mhccaremail.com
  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.