NPIMap

Individual provider Active NPI

Larry R Handlin, DO

  • Cardiovascular Disease Physician
  • Kirksville, MO
National Provider Identifier
1437144375
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R4H76 Issued in MO
Practice address
800 W Jefferson St
Kirksville, MO 63501-1443
Phone
(660) 785-1991
Fax
(660) 785-1989
NPI assigned
Sep 16, 2005
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R4H76 MO Primary

Addresses

Primary practice location

800 W Jefferson St
Kirksville, MO 63501-1443

Mailing address

201 E Monroe St
Mexico, MO 65265-2852
Phone (573) 581-3240

Other practice location 1

201 E Monroe St
Mexico, MO 65265-2852
Phone (573) 581-3240

Other identifiers 1

IdentifierTypeStateIssuer
242835718MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address larry.handlin.2@2245.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000727 MO Practitioner - Cardiovascular Disease (Cardiology) 1254344740 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirksville Clinic CorpGroup PAC ID 4486619269, 14 clinicians

Practice addresses (Care Compare)

630 W 3Rd St
Sullivan Co Mem Hosp
Milan, MO 63556-1076
Phone (660) 265-4212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Pacemaker insertion or repair21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan County Memorial Hospital CurrentSince Jun 21, 2021 Accepting new patients
Sullivan County Memorial Hospital CurrentSince Dec 1, 2025 Accepting new patients
Sullivan County Memorial Hospital CurrentSince Jun 21, 2021 Accepting new patients
Kirksville Clinic Corp Cardiovascular Disease CurrentSince Sep 14, 2020 Accepting new patients
Kirksville Missouri Hospital Company, LLC Past Accepting new patients

Locations

800 W Jefferson St
Kirksville, MO 63501
Phone (660) 626-2235

630 W 3rd St
Milan, MO 63556
Phone (660) 265-1077

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sulliva-d2785c8f
  • Direct secure messaging: larry.handlin.2@2245.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1437144375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652852",
            "telephone_number": "573-581-3240",
            "fax_number": "573-581-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-785-1991",
            "fax_number": "660-785-1989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Monroe St",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "MO",
            "postal_code": "652652852",
            "country_code": "US",
            "telephone_number": "573-581-3240",
            "fax_number": "573-581-7493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDLIN",
        "first_name": "LARRY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R4H76",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242835718",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "larry.handlin.2@2245.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "800 W Jefferson St",
            "city": "Kirksville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "635011443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.