Individual provider Active NPI

Luke A Van Kirk, DO

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1821352782
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013027456 Issued in MO
Practice address
3238 S National Ave
Springfield, MO 65807-7303
Phone
(417) 351-2900
Fax
(417) 351-2900
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2013027456 MO Primary

Addresses

Primary practice location

3238 S National Ave
Springfield, MO 65807-7303

Mailing address

3238 S National Ave
Springfield, MO 65807-7303
Phone (417) 351-2900

Other practice location 1

2144 E Republic Rd Ste A104
Springfield, MO 65804-4645
Phone (417) 887-8075

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 7, 2025 through Feb 7, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Command Prime, LLC Family Medicine Current Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

3238 S National Ave
Springfield, MO 65807
Phone (417) 351-2900

Interoperability endpoints

  • Direct secure messaging: luke.vankirk@cernerdirect.coxhealth.com

Organizations & group practices 2

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1821352782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077303",
            "telephone_number": "417-351-2900",
            "fax_number": "417-351-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077303",
            "telephone_number": "417-351-2900",
            "fax_number": "417-351-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2144 E Republic Rd Ste A104",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044645",
            "country_code": "US",
            "telephone_number": "417-887-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN KIRK",
        "first_name": "LUKE",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013027456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.