Individual provider Active NPI

Kirk Darin Coverston, M.D.

  • Pediatrics Physician
  • Reedley, CA
National Provider Identifier
1487726915
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A81698 Issued in CA
Practice address
1415 N Acacia Ave Ste 101
Reedley, CA 93654-2102
Phone
(559) 638-8187
NPI assigned
Nov 13, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A81698 CA
Pediatrics Physician 208000000X A81698 CA Primary

Addresses

Primary practice location

1415 N Acacia Ave Ste 101
Reedley, CA 93654-2102

Mailing address

1415 N. Acacia Ave. Suite#101
Reedley, CA 93654-2102
Phone (559) 638-8187

Other identifiers 1

IdentifierTypeStateIssuer
A81698OtherCAM.D.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040323000923 CA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 0143111732 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81698CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Feb 6, 2017 Accepting new patients
Milestone Pediatrics Medical, P.C. Pediatrics PastSince Feb 1, 2022 Accepting new patients
Milestone Pediatrics, Inc. Pediatrics PastSince May 9, 2021 Accepting new patients

Locations

660 E Visalia Rd
Farmersville, CA 93223
Phone (559) 594-6788

2611 N Dinuba Blvd
Visalia, CA 93291
Phone (559) 623-0700

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

Interoperability endpoints

  • Direct secure messaging: kcoverston@9cbe8f39.micromddirect.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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487726915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N. ACACIA AVE. SUITE#101",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542102",
            "telephone_number": "559-638-8187",
            "fax_number": "559-638-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N ACACIA AVE STE 101",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542102",
            "telephone_number": "559-638-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVERSTON",
        "first_name": "KIRK",
        "middle_name": "DARIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A81698",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A81698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.D.",
            "identifier": "A81698",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.