Individual provider Active NPI

Kyle W. Griffin, M.D.

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1710076948
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2001014625 Issued in MO
Practice address
3800 S National Ave Ste 700
Springfield, MO 65807-5279
Phone
(417) 269-8817
Fax
(417) 269-8744
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2001014625 MO Primary

Addresses

Primary practice location

3800 S National Ave Ste 700
Springfield, MO 65807-5279

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712

Other identifiers 2

IdentifierTypeStateIssuer
176566OtherMOBCMO
200659803MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080312000411 MO Practitioner - Family Practice 7012092216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

1000 E Primrose St
Suite 360
Springfield, MO 65807-5293
Phone (417) 269-4037

3800 S National Ave
Suite 700
Springfield, MO 65807-5279
Phone (417) 269-8817

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.52 of 100Reported as group
Quality
61.64
Promoting interoperability
100
Improvement activities
40
Cost
76.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001014625MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jan 1, 2008 Accepting new patients
Lester E. Cox Medical Centers Family Medicine Current Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Jan 25, 2022 Accepting new patients
Advocates for a Healthy Community, Inc CurrentSince Jan 25, 2022 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jan 1, 2008 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Lester E Cox Medical Centers Family Medicine Past Accepting new patients

Locations

3800 S National Ave
Ste LL100
Springfield, MO 65807
Phone (417) 269-7784

2238 W Kingsley St
Springfield, MO 65807
Phone 4178310150 ext. 5911

1423 N Jefferson Ave
#B100
Springfield, MO 65802
Phone (417) 269-8817

1423 N Jefferson Ave
Springfield, MO 65802
Phone (417) 269-6583

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3800 S National Ave
Ste 540
Springfield, MO 65807
Phone (417) 269-6262

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

3805 S Kansas Expy
Ste A
Springfield, MO 65807
Phone (417) 269-6896

3800 S National Ave
Ste 700
Springfield, MO 65807
Phone (417) 269-8817

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

Interoperability endpoints

  • Direct secure messaging: kgriffin728383@direct.ochin.org
  • Direct secure messaging: kyle.griffin@cernerdirect.coxhealth.com
  • Direct secure messaging: kyle.griffin.p1@direct.jordanvalley.nextgenshare.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 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1710076948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE STE 700",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075279",
            "telephone_number": "417-269-8817",
            "fax_number": "417-269-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "KYLE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2001014625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMO",
            "identifier": "176566",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200659803",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.