Active NPI
Kirk Jihyon Pak, M.D., PH.D., M.SC.
- Hospitalist Physician
- Elkhorn, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 85101-20
- Practice address
- W3985 County Road NN
Elkhorn, WI 53121-4337 - Phone
- (262) 741-2000
- NPI assigned
- May 3, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01076965A | IN | |
| Internal Medicine Physician | 207R00000X | MD.207561 | LA | |
| Hospitalist Physician | 208M00000X | 01076965A | IN | |
| Hospitalist Physician | 208M00000X | 85101-20 | WI | Primary |
Addresses
Primary practice location
W3985 County Road NN
Elkhorn, WI 53121-4337
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-5141
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001195932 | Other | ANTHEM | |
| 05809560 | Medicaid | MS | |
| 100307369 | Medicaid | WI | |
| 2196472 | Medicaid | LA | |
| 300006000 | Medicaid | IN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kpak253080@Direct.FranciscanAlliance.org | Direct | |
| Direct Messaging Address | kpak421754@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
1104 E Grace St
Renssalaer, IN 47978-3211
Phone (219) 866-2010
395 Westerfield Rd
Noblesville, IN 46060-1425
Phone (317) 776-7446
N2950 State Rd
Suite 67
Lake Geneva, WI 53147-2655
Phone (262) 245-0535
Hospital & facility affiliations
- Franciscan Health Lafayette
- Mercy Walworth Hospital & Medical Center
- Franciscan Health Rensselaer, Inc
- Riverview Health
- Franciscan Health Crawfordsville
- Franciscan Health Rensselaer, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01076965A | IN | MD | Internal Medicine Physician |
| MD.207561 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Franciscan Physician Network | Internal Medicine | Current | Accepting new patients |
| Hamiltion Inpatient Physicians, LLC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1710 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-2800
1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136
176 W Logan St
Noblesville, IN 46060
1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
Interoperability endpoints
- kpak253080@direct.franciscanalliance.org
- kpak421754@direct.myadvocateaurora.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
Internal Medicine
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1891821591
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Internal Medicine
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
- Medicare Defined Swing Bed Hospital Unit
- Rensselaer, IN
- NPI 1508232075
Nursing home
-
- Critical Access Hospital
- Rensselaer, IN
- NPI 1932589173
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1477812956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W3985 COUNTY ROAD NN",
"city": "ELKHORN",
"state": "WI",
"postal_code": "531214337",
"telephone_number": "262-741-2000"
}
],
"practiceLocations": [
{
"address_1": "1104 E Grace St",
"address_purpose": "LOCATION",
"city": "Rensselaer",
"state": "IN",
"postal_code": "47978",
"country_code": "US",
"telephone_number": "219-866-5141",
"fax_number": "219-866-3234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAK",
"first_name": "KIRK",
"middle_name": "JIHYON",
"credential": "M.D., PH.D., M.SC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-03",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01076965A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "MD.207561",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01076965A",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "85101-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000001195932",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05809560",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100307369",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2196472",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300006000",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpak253080@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1104 E Grace St",
"city": "Rensselaer",
"state": "IN",
"country_code": "US",
"postal_code": "47978",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpak421754@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "W3985 County Road Nn",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214337",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "W3985 County Road Nn",
"city": "Elkhorn",
"state": "WI",
"country_code": "US",
"postal_code": "531214337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkhorn, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.