Active NPI
Helen Renee Kirk, M.D.
- Internal Medicine Physician
- Bloomington, IN
National Provider Identifier
1477575231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01067476A
- Practice address
- 550 S Landmark Ave
Bloomington, IN 47403-3239 - Phone
- (812) 331-3400
- Fax
- (812) 332-7265
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01067476A | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0000034144 | TN | |
| Pulmonary Disease Physician | 207RP1001X | 01067476A | IN | |
| Internal Medicine Physician | 207R00000X | 01067476A | IN | Primary |
Addresses
Primary practice location
550 S Landmark Ave
Bloomington, IN 47403-3239
Mailing address
550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 331-3400
Other practice location 1
2200 Randallia Drive
Fort Wayne, IN 46805
Phone (260) 373-6315
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00790215 | Other | IN | R.R. MEDICARE |
| 000000640739 | Other | IN | ANTHEM |
| 200965140 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hkirk@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34144 | TN | MD | Registered Nurse |
| 01067476A | IN | MD | Critical Care Medicine (Internal Medicine) Physician |
| 0000034144 | TN | MD | Critical Care Medicine (Internal Medicine) Physician |
| 31384 | SC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Critical Care Services, Inc | Critical Care Medicine | Past | Accepting new patients |
| Piedmont Pulmonology, LLC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- hkirk@direct.iuhealth.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Internal Medicine Physician
- Rock Hill, SC
- NPI 1942488903
-
- Critical Care Medicine (Internal Medicine) Physician
- Johnson City, TN
- NPI 1528092541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1477575231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033239",
"telephone_number": "812-331-3400",
"fax_number": "812-332-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033239",
"telephone_number": "812-331-3400",
"fax_number": "812-332-7265"
}
],
"practiceLocations": [
{
"address_1": "2200 Randallia Drive",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "46805",
"country_code": "US",
"telephone_number": "260-373-6315",
"fax_number": "260-373-6348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRK",
"first_name": "HELEN",
"middle_name": "RENEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01067476A",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TN",
"license": "0000034144",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01067476A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01067476A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "R.R. MEDICARE",
"identifier": "P00790215",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000640739",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200965140",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hkirk@direct.iuhealth.org",
"affiliation": "N",
"address_1": "550 S Landmark Ave",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474033239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.