Individual provider Active NPI

Nathan Kirby, OD

  • Optometrist
  • Hillsboro, IL
National Provider Identifier
1558719054
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010979 Issued in IL
Practice address
675 School St
Hillsboro, IL 62049-1530
Phone
(217) 532-5044
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.010979 IL Primary

Addresses

Primary practice location

675 School St
Hillsboro, IL 62049-1530

Mailing address

675 School St
Hillsboro, IL 62049-1530
Phone (217) 532-5044

Other practice location 1

601 James R Thompson Blvd
BLDG D Ste 2030
East St Louis, IL 62201
Phone (618) 274-0169

Other identifiers 1

IdentifierTypeStateIssuer
046010979MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601002869 IL Practitioner - Optometry 3678863776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

675 School St
Hillsboro, IL 62049-1530
Phone (217) 532-5044

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as group
Quality
84.51
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri CurrentSince Aug 15, 2016 Accepting new patients
Family Eye Care Association, P.C. Optometrist Current Accepting new patients
Family Eye Care Association, P.C. Optometrist CurrentSince Jul 11, 2016 Accepting new patients
Curators of the University of Missouri Optometrist CurrentSince Aug 15, 2016 Accepting new patients
Springfield Clinic, LLP PastSince Jul 11, 2016 Accepting new patients

Locations

601 James R Thompson Blvd
Bldg D
East Saint Louis, IL 62201
Phone (573) 882-3629

101 W Main St
Greenville, IL 62246
Phone (618) 664-0636

675 School St
Hillsboro, IL 62049
Phone (217) 532-5044

510 W Union Ave
Litchfield, IL 62056
Phone (217) 324-3317

1 University Blvd
Saint Louis, MO 63121
Phone (314) 516-5131

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": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1558719054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SCHOOL ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491530",
            "telephone_number": "217-532-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SCHOOL ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "620491530",
            "telephone_number": "217-532-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 JAMES R THOMPSON BLVD",
            "address_2": "BLDG D STE 2030",
            "address_purpose": "LOCATION",
            "city": "EAST ST LOUIS",
            "state": "IL",
            "postal_code": "62201",
            "country_code": "US",
            "telephone_number": "618-274-0169",
            "fax_number": "618-274-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010979",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, IL

Sources for this page

Verify at the official NPI Registry.