Individual provider Active NPI

Stephen A Kirkpatrick, M.D.

  • Gastroenterology Physician
  • Bartlesville, OK
National Provider Identifier
1588619787
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14318 Issued in OK
Practice address
3400 SE Frank Phillips BLV
Ste 700
Bartlesville, OK 74006-2443
Phone
(918) 333-7172
Fax
(918) 331-2449
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 14318 OK Primary

Addresses

Primary practice location

3400 SE Frank Phillips BLV
Ste 700
Bartlesville, OK 74006-2443

Mailing address

3400 SE Frank Phillips BLV
Ste 700
Bartlesville, OK 74006-2443
Phone (918) 333-7172

Other identifiers 2

IdentifierTypeStateIssuer
100122980AMedicaidOK
100206240BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20101013000263 OK Practitioner - GastroenterologyPractitioner - Internal Medicine 7315139052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14318OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Feb 1, 2016 Accepting new patients
St. John Physicians, Inc. Gastroenterology CurrentSince Feb 1, 2016 Accepting new patients
Jane Phillips Memorial Medical Center, Inc. Past Accepting new patients

Locations

3400 E Frank Phillips Blvd
Ste 700
Bartlesville, OK 74006
Phone (918) 333-7172

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Interoperability endpoints

  • Direct secure messaging: stephen.kirkpatrick@direct.stjohnhealthsystem.com

Organizations & group practices 3

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1588619787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SE FRANK PHILLIPS BLV",
            "address_2": "STE 700",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062443",
            "telephone_number": "918-333-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SE FRANK PHILLIPS BLV",
            "address_2": "STE 700",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062443",
            "telephone_number": "918-333-7172",
            "fax_number": "918-331-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OK",
            "license": "14318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100122980A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100206240B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.