Individual provider Active NPI

Kip Cardell Newell, D.O.

  • Anesthesiology Physician
  • Poplar Bluff, MO
National Provider Identifier
1841226222
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2010003248 Issued in MO
Practice address
2445 N Westwood Blvd Ste 100
Poplar Bluff, MO 63901-2317
Phone
(573) 776-0157
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 336.086016 IL
Anesthesiology Physician 207L00000X 363124673 IL
Anesthesiology Physician 207L00000X 136.124673 IL
Anesthesiology Physician 207L00000X 2010003248 MO Primary

Addresses

Primary practice location

2445 N Westwood Blvd Ste 100
Poplar Bluff, MO 63901-2317

Mailing address

2445 N Westwood Blvd
Poplar Bluff, MO 63901-2369
Phone (573) 776-0157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
136.124673ILMDAnesthesiology Physician
336.086016ILMDAnesthesiology Physician
363124673ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Lxxiv, LLC CurrentSince Dec 6, 2022 Accepting new patients
Icdoc LLC CurrentSince Jun 8, 2025 Accepting new patients
Anesthesia Associates, LTD Past Accepting new patients
BHG Lxxiv, LLC PastSince Dec 13, 2022 Accepting new patients

Locations

2445 N Westwood Blvd
Ste 100
Poplar Bluff, MO 63901
Phone (573) 776-0157

2551 W Kearney St
Springfield, MO 65803
Phone (417) 210-6025

5001 Spring Vly
Ste 600E
Dallas, TX 75244

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1841226222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012369",
            "telephone_number": "573-776-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 N WESTWOOD BLVD STE 100",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012317",
            "telephone_number": "573-776-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "KIP",
        "middle_name": "CARDELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "336.086016",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "363124673",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "136.124673",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2010003248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.