Individual provider Active NPI

Kevin Kirk, M.D.

  • Ophthalmology Physician
  • Richfield, UT
National Provider Identifier
1750791182
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10648318-1205 Issued in UT
Practice address
41 S 100 E Ste J
Richfield, UT 84701-2691
Phone
(435) 287-0563
Fax
(435) 287-0564
NPI assigned
May 7, 2014
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10648318-1205 UT Primary

Addresses

Primary practice location

41 S 100 E Ste J
Richfield, UT 84701-2691

Mailing address

PO Box 338
Richfield, UT 84701-0338
Phone (435) 287-0563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20180201000083 UT Practitioner - Ophthalmology 1951528538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kirk Eye LLCGroup PAC ID 6709217052, 3 clinicians

Practice addresses (Care Compare)

380 E 800
Richfield, UT 84701-1913
Phone (435) 287-0563

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
100
Improvement activities
40
Cost
53.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery395

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk Eye LLC CurrentSince Apr 1, 2020 Accepting new patients
Mnkrehab CurrentSince Dec 1, 2022 Accepting new patients
Ihc Health Services, Inc. PastSince Apr 30, 2018 Accepting new patients
Hofmann Arthritis Institute, PLLC Past Accepting new patients

Locations

41 S 100 E
Ste J
Richfield, UT 84701
Phone (435) 287-0563

Interoperability endpoints

  • Direct secure messaging: kevin.kirk.1@16299.direct.athenahealth.com
  • Direct secure messaging: kkirk@centralutaheye.direct.eyemdemr.com

Organizations & group practices 4

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 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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1750791182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847010338",
            "telephone_number": "435-287-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S 100 E STE J",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012691",
            "telephone_number": "435-287-0563",
            "fax_number": "435-287-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "10648318-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

Verify at the official NPI Registry.