Individual provider Active NPI

David Charles Kirkwood, M.D.

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1932293115
Registry record updated Sep 23, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 19, 2019.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-05-0689K Issued in OH
Practice address
2838 Linden Ave
Lower Level
Dayton, OH 45410-3049
Phone
(937) 252-9965
Fax
(937) 252-9927
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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 35-05-0689K OH Primary

Addresses

Primary practice location

2838 Linden Ave
Lower Level
Dayton, OH 45410-3049

Mailing address

2838 Linden Ave
Lower Level
Dayton, OH 45410-3049
Phone (937) 252-9965

Other identifiers 2

IdentifierTypeStateIssuer
0556134MedicaidOH
311178563OtherOHTAX ID

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkwood Family Practice, LLC Family Medicine Past Accepting new patients
Dayton Gastroenterology LLC Past Accepting new patients
Stroop Medical, Inc. Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://5e3884cf-4770-450d-af77-2043acaa1ebe.gastro.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1932293115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 LINDEN AVE",
            "address_2": "LOWER LEVEL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454103049",
            "telephone_number": "937-252-9965",
            "fax_number": "937-252-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 LINDEN AVE",
            "address_2": "LOWER LEVEL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454103049",
            "telephone_number": "937-252-9965",
            "fax_number": "937-252-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKWOOD",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-05-0689K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0556134",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "311178563",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.