Active NPI
Robert E Kilpatrick, D.O.
- Emergency Medicine Physician
- Muscle Shoals, AL
National Provider Identifier
1679512040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO 120
- Practice address
- 201 Avalon Ave
Muscle Shoals, AL 35661-2805 - Phone
- (866) 313-5265
- Fax
- (205) 313-5245
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO 120 | AL | Primary |
Addresses
Primary practice location
201 Avalon Ave
Muscle Shoals, AL 35661-2805
Mailing address
PO Box 2705
Huntsville, AL 35804-2705
Phone (256) 265-4593
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000055023 | Medicaid | AL | |
| 051055023 | Other | AL | BCBS |
| 930086442 | Other | AL | RR MCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101122001068 | AL | Practitioner - Emergency Medicine | 1355537978 | Practice locations: Red Bay, AL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO 120 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Health System - Shoals LLC | Current | Accepting new patients | |
| Heart Health Center PC | Past | Accepting new patients |
Locations
211 Hospital Rd
Red Bay, AL 35582
Phone (256) 356-8160
1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Red Bay, AL
- NPI 1073601043
-
- Cardiovascular Disease Physician
- Muscle Shoals, AL
- NPI 1326100074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1679512040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2705",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358042705",
"telephone_number": "256-265-4593",
"fax_number": "256-265-4599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 AVALON AVE",
"city": "MUSCLE SHOALS",
"state": "AL",
"postal_code": "356612805",
"telephone_number": "866-313-5265",
"fax_number": "205-313-5245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "DO 120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000055023",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051055023",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE",
"identifier": "930086442",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muscle Shoals, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.