NPIMap

Individual provider Active NPI

Kevin Halsey, MD

  • Gastroenterology Physician
  • Columbia, MO
National Provider Identifier
1942268206
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2007010295 Issued in MO
Practice address
210 Portland St Ste 100
Columbia, MO 65201-6677
Phone
(573) 777-8818
Fax
(573) 777-8819
NPI assigned
May 3, 2006
Last updated
Aug 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2007010295 MO Primary

Addresses

Primary practice location

210 Portland St Ste 100
Columbia, MO 65201-6677

Mailing address

210 Portland St Ste 100
Columbia, MO 65201-6677
Phone (573) 777-8818

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Boone Hospital Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000797 MO Practitioner - Internal MedicinePractitioner - Gastroenterology 5698867125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
University of Missouri, Columbia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians
Gastrointestinal Associates, LLCGroup PAC ID 9537166236, 30 clinicians

Practice addresses (Care Compare)

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

210 Portland St
Columbia, MO 65201-6677
Phone (573) 777-8818

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy102
Upper gastrointestinal (GI) endoscopy for acid reflux1087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Associates, LLC Gastroenterology CurrentSince Jul 1, 2014 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

210 Portland St
Ste 100
Columbia, MO 65201
Phone (573) 777-8818

Interoperability endpoints

  • FHIR API: https://ff23a4b4-465d-44fa-a7d8-99a59a9660e5.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1942268206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PORTLAND ST STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016677",
            "telephone_number": "573-777-8818",
            "fax_number": "573-777-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PORTLAND ST STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016677",
            "telephone_number": "573-777-8818",
            "fax_number": "573-777-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSEY",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2007010295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "OtherApplication Programming Interface (API)",
            "affiliationName": "Boone Hospital Center",
            "address_1": "1600 E Broadway",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652015844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.