Kurt Kloss, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2016009160 Issued in MO

Practice address

4500 Memorial Dr
Belleville, IL 62226-5360

Phone

(618) 257-5879

Fax

(618) 257-6740

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Protestant Memorial Medical Center,Inc

  • General Acute Care Hospital
  • Belleville, IL
  • NPI 1477633766
  NPD
• Lenox Healing Medical, P.C.

  • Internal Medicine Physician
  • Forest Hills, NY
  • NPI 1821288044
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1508907247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 OAKWOOD AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192519",
            "telephone_number": "314-249-5627",
            "fax_number": "314-962-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "618-257-5879",
            "fax_number": "618-257-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSS",
        "first_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036088207",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2016009160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930124097",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Klaverkamp, MSPA
• Emily Catherine Klein, FNP
• Matthew Robert Kleinlein, BA
• Chelsie Klieber, DPT
• Robert Norton Klopper, PT
• Cherie Ann Klosterman
• Kma Certified Testing, Inc.
• John Steven Knox, D.M.D.
• Susan E Kober, RD
• Matthew J Koch, MD

• Emergency Medicine Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.