Active NPI
Kenneth L. Offutt, DO
- Emergency Medicine Physician
- Fort Scott, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 05-46634
- 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.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1972698553
Emergency Medicine, MO
-
- General Acute Care Hospital
- Fort Scott, KS
- NPI 1205654076
-
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
-
- Family Medicine Physician
- Carthage, MO
- NPI 1558628222
-
- Rural Health Clinic/Center
- Carthage, MO
- NPI 1992074959
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
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 Practice
- 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, PLLCFreeman Fort Scott Hospital Inc
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
- CCN 170210
- Mercy Hospital Carthage
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150408002268 | MO | Practitioner - General Practice | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 05-46634 | KS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Current | Accepting new patients | |
| Green Country Emergency Physicians Group of Tulsa PLLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Carthage | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Mercy Hospital Carthage | Current | Accepting new patients | |
| Freeman Fort Scott Hospital Inc | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 05-46634 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.