Individual provider Active NPI

Peter F Kirkham, M.D.

  • Anesthesiology Physician
  • Austin, TX
National Provider Identifier
1730114307
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L2966 Issued in TX
Practice address
4100 Duval Rd Ste 100
Austin, TX 78759-3550
Phone
(855) 876-7246
Fax
(855) 277-5070
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X L2966 TX Primary

Addresses

Primary practice location

4100 Duval Rd Ste 100
Austin, TX 78759-3550

Mailing address

PO Box 208379
Dallas, TX 75320-0550
Phone (512) 953-8135

Other practice location 1

3513 W Alberta Rd
Edinburg, TX 78539-8466
Phone (956) 664-9771

Other identifiers 2

IdentifierTypeStateIssuer
151254304MedicaidTX
2B8684OtherTXTEXAS MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psa Anesthesia PLLC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Psa Ambulatory Surgical Center of South Austin, LLC CurrentSince Mar 1, 2022 Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P .a. PastSince May 7, 2024 Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P.a. Anesthesiology Past Accepting new patients

Locations

4100 Duval Rd
Bldg 3
Austin, TX 78759
Phone (512) 550-8828

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

4100 Duval Rd
Ste 100
Austin, TX 78759
Phone (512) 250-0220

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

8015 Shoal Creek Blvd
Ste 118
Austin, TX 78757
Phone (512) 485-5890

3944 Ranch Road 620 S
Ste 103
Bee Cave, TX 78738
Phone (512) 371-1519

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232

Organizations & group practices 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1730114307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208379",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753200550",
            "telephone_number": "512-953-8135",
            "fax_number": "443-648-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 DUVAL RD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593550",
            "telephone_number": "855-876-7246",
            "fax_number": "855-277-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3513 W Alberta Rd",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785398466",
            "country_code": "US",
            "telephone_number": "956-664-9771",
            "fax_number": "956-664-9773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKHAM",
        "first_name": "PETER",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L2966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151254304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICARE",
            "identifier": "2B8684",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.