Individual provider Active NPI

Kirk Cooper Eddleman, M.D.

  • Rheumatology Physician
  • Oxford, MS
National Provider Identifier
1821209784
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
20227 Issued in MS
Practice address
504 Azalea Dr Ste a
Oxford, MS 38655-5397
Phone
(662) 236-7738
Fax
(662) 236-9642
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 20227 MS Primary

Addresses

Primary practice location

504 Azalea Dr Ste a
Oxford, MS 38655-5397

Mailing address

965 Ridge Lake Blvd
Memphis, TN 38120-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20110804000247 MS Practitioner - Rheumatology 0547439754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Mississippi School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Memorial Hospital Union County, Inc.Group PAC ID 4183601305, 41 clinicians
Baptist Memorial Medical Group, Inc.Group PAC ID 5193610228, 581 clinicians

Practice addresses (Care Compare)

100 Baptist Memorial Cir
Oxford, MS 38655-4476
Phone (662) 636-4333

1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1090

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 534-7631

255 Baptist Blvd
Columbus, MS 39705-2006

452 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-3724

456 W Bankhead St
New Albany, MS 38652-3319
Phone (662) 534-7474

81 Ed Perry Blvd
Oxford, MS 38655-3465

Hospital & facility affiliations

  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
  • North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318
  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.01
Promoting interoperability
100
Improvement activities
40
Cost
58.38

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20227MSMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Jul 21, 2015 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Jul 21, 2015 Accepting new patients
Baptist Memorial Hospital Union County, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Apr 1, 2017 Accepting new patients
Baptist Memorial Hospital North Mississippi, Inc CurrentSince Apr 1, 2017 Accepting new patients
Baptist Memorial Hospital Union County, Inc. PastSince Jun 6, 2021 Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369

100 Baptist Memorial Cir
Ste 3
Oxford, MS 38655

504 Azalea Dr
Ste A
Oxford, MS 38655
Phone (662) 236-7738

100 Baptist Memorial Cir
Ste 204
Oxford, MS 38655
Phone (662) 363-4333

391 Southcrest Cir
Ste 101
Southaven, MS 38671
Phone (662) 349-0356

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

965 Ridge Lake Blvd
Memphis, TN 38120

Interoperability endpoints

  • Direct secure messaging: keddleman11822@direct.bmhcc.org

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 4

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1821209784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 AZALEA DR STE A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555397",
            "telephone_number": "662-236-7738",
            "fax_number": "662-236-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDLEMAN",
        "first_name": "KIRK",
        "middle_name": "COOPER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MS",
            "license": "20227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.