Individual provider Active NPI

Kevin Marcell Turner, DO

  • Internal Medicine Physician
  • Hillsboro, MO
National Provider Identifier
1508867060
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R4N90 Issued in MO
Practice address
4 Hickory Ridge Rd
Suite 600
Hillsboro, MO 63050-5100
Phone
(636) 481-6040
Fax
(636) 797-5633
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R4N90 MO Primary

Addresses

Primary practice location

4 Hickory Ridge Rd
Suite 600
Hillsboro, MO 63050-5100

Mailing address

227 Main St
Festus, MO 63028-1952
Phone (636) 931-2700

Other identifiers 2

IdentifierTypeStateIssuer
242855708MedicaidMO
242855724MedicaidMO

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
I20100816000616 MO Practitioner - Internal Medicine 5991839789 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4N90MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince May 10, 2016 Accepting new patients
Compass Health, Inc CurrentSince May 10, 2016 Accepting new patients
Compass Health, Inc Current Accepting new patients
Compass Health, Inc. Past Accepting new patients
Compass Health, Inc Past Accepting new patients

Locations

227 Main St
Festus, MO 63028
Phone (636) 321-0101

4 Hickory Ridge Rd
Ste 600
Hillsboro, MO 63050
Phone (636) 481-6040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24622/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1508867060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281952",
            "telephone_number": "636-931-2700",
            "fax_number": "636-931-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HICKORY RIDGE RD",
            "address_2": "SUITE 600",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505100",
            "telephone_number": "636-481-6040",
            "fax_number": "636-797-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KEVIN",
        "middle_name": "MARCELL",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R4N90",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242855708",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242855724",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

Verify at the official NPI Registry.