Individual provider Active NPI

David Dale Kirkpatrick III, M.D.

  • Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1619954021
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35053895 Issued in OH
Practice address
7502 State Rd
Ste. 1180
Cincinnati, OH 45255-2800
Phone
(513) 232-8181
Fax
(513) 624-2956
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35053895 OH
Surgery Physician 208600000X 35053895 OH Primary

Addresses

Primary practice location

7502 State Rd
Ste. 1180
Cincinnati, OH 45255-2800

Mailing address

1270 Solutions Center
P.O. Box 771270
Chicago, IL 60677-1002
Phone (513) 542-6898

Other identifiers 6

IdentifierTypeStateIssuer
742489OtherOHBUCKEYE
0646689OtherOHAETNA
0646831MedicaidOH
000000020983OtherOHANTHEM
020034066OtherOHRAILROAD MEDICARE
299862OtherOHAMERIGROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110119000884 OH Practitioner - General SurgeryPractitioner - Vascular Surgery 6800075151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35053895OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Surgery CurrentSince Jan 1, 2016 Accepting new patients
Trihealth H LLC Surgery CurrentSince Jan 1, 2022 Accepting new patients
Trihealth G, LLC CurrentSince Jan 1, 2016 Accepting new patients
Trihealth Surgical Institute LLC Surgery Past Accepting new patients
Queen City General & Vascular Surgeons Group LTD Surgery Past Accepting new patients
Trihealth Physician Institute Past Accepting new patients
Diagnostic Cardiologists Inc. Past Accepting new patients

Locations

8240 Northcreek Dr
Ste 1400
Cincinnati, OH 45236
Phone (513) 792-4700

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

7794 5 Mile Rd
Ste 200
Cincinnati, OH 45230

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

10506 Montgomery Rd
Ste 209
Montgomery, OH 45242
Phone (513) 794-1601

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

10506 Montgomery Rd
Ste 101
Montgomery, OH 45242
Phone (513) 793-1171

4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796

Interoperability endpoints

  • Direct secure messaging: dkirkpatrick36910@direct.trihealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1619954021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 SOLUTIONS CENTER",
            "address_2": "P.O. BOX 771270",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771002",
            "telephone_number": "513-542-6898",
            "fax_number": "513-542-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 STATE RD",
            "address_2": "STE. 1180",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552800",
            "telephone_number": "513-232-8181",
            "fax_number": "513-624-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "DAVID",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35053895",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35053895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "742489",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0646689",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0646831",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000020983",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020034066",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "299862",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.