Individual provider Active NPI

Kenneth L. Offutt, DO

  • Emergency Medicine Physician
  • Fort Scott, KS
National Provider Identifier
1962720540
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
05-46634 Issued in KS
Practice address
401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone
(620) 768-0388
NPI assigned
May 6, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Emergency Physicians Group of Tulsa, PLLC 107 clinicians
Freeman Fort Scott Hospital Inc 6 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Mercy Clinic Emergency Medicine
Joplin, MO 64804-4524
Phone (417) 556-2300

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (620) 768-0388

Hospital & facility affiliations

  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • CCN 170210 Hospital, CCN 170210
  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20150408002268 MO Practitioner - General PracticePractitioner - Emergency Medicine 1759609431 Reassigns benefits to 4 organizations
I20220907002651 KS Practitioner - Emergency Medicine 1759609431 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-46634KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman-Oak Hill Health System CurrentSince Apr 27, 2021 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Apr 27, 2021 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Nov 3, 2024 Accepting new patients
Mercy Hospital Carthage Emergency Medicine Current Accepting new patients
Mercy Hospital Carthage CurrentSince Aug 1, 2024 Accepting new patients
Mercy Hospital Carthage CurrentSince Aug 1, 2024 Accepting new patients
Freeman Fort Scott Hospital Inc CurrentSince Sep 3, 2025 Accepting new patients
Mercy Hospital Joplin Past Accepting new patients

Locations

401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200

1 Mt Carmel Way
Pittsburg, KS 66762
Phone (620) 231-6100

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

3116 Medical Park Dr
Carthage, MO 64836
Phone (417) 358-7574

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1717 S Range Line Rd
Ste B
Joplin, MO 64804
Phone (417) 556-2231

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 05-46634 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797

Mailing address

PO Box 3810
Joplin, MO 64803-3810

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962720540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "620-768-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFUTT",
        "first_name": "KENNETH",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-46634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Scott, KS

Sources for this page

Verify at the official NPI Registry.