NPIMap

Individual provider Active NPI

Stephen M Kirk, M.D.

  • Internal Medicine Physician
  • Salem, NH
National Provider Identifier
1750349619
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
81771 Issued in MA
Practice address
289 Main St
Salem, NH 03079-2731
Phone
(603) 893-4352
NPI assigned
May 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 81771 MA Primary

Addresses

Primary practice location

289 Main St
Salem, NH 03079-2731

Mailing address

289 Main St
Salem, NH 03079-2731
Phone (603) 893-4352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060131000633 NH Practitioner - Internal Medicine 0143234989 Reassigns benefits to 1 organization
I20080730000341 MA Practitioner - Internal Medicine 0143234989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Salem New Hampshire Physicians Network PCGroup PAC ID 3173547486, 2 clinicians

Practice addresses (Care Compare)

289 Main St
Salem, NH 03079-2731
Phone (603) 898-6363

380 R Merrimack St
Methuen, MA 01844-5883
Phone (978) 688-7860

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81771MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem New Hampshire Physicians Network PC Internal Medicine CurrentSince May 7, 1997 Accepting new patients

Locations

380R Merrimack St
Methuen, MA 01844
Phone (978) 688-1176

380R Merrimack St
Fl 2
Methuen, MA 01844
Phone (978) 681-4700

289 Main St
Salem, NH 03079
Phone (603) 890-8673

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750349619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792731",
            "telephone_number": "603-893-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792731",
            "telephone_number": "603-893-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.