Tyler Quentin Kirk, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036.129789 Issued in IL

Practice address

7427 Lake St
River Forest, IL 60305-1817

Phone

(708) 771-3334

Fax

(708) 771-9614

NPI assigned

Jul 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Ophthalmology

Education

University of Virginia School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kirk Eye Center SCGroup PAC ID 2769527118, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kirk Eye Center, SC

  • Ophthalmology Physician
  • River Forest, IL
  • NPI 1568563955
  Medicare reassignment Care Compare group
• River Forest Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • River Forest, IL
  • NPI 1083615470
  NPD
• River Forest Surgery Center LLC

  • Certified Registered Nurse Anesthetist
  • River Forest, IL
  • NPI 1194727727
  NPD

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1730387705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7427 LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051817",
            "telephone_number": "708-771-3334",
            "fax_number": "708-771-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7427 LAKE ST",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051817",
            "telephone_number": "708-771-3334",
            "fax_number": "708-771-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "TYLER",
        "middle_name": "QUENTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "T-1999",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.129789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Eye Center SC
• Kirk Eye Center, SC
• Carter N Kirk, M.D.
• Kent Alan Kirk, M.D.
• Scott Harold Kirk, M.D.
• Kurtis Klein, MED
• Isoken Koko, MD
• Lillian Kong, MPT
• Amy Kosnar-Parker
• Mary Kotjabaldiri, APN-PMHNP

• Ophthalmology Physician in River Forest, IL
• Providers in River Forest, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.