Individual provider Active NPI

Scott David Kirkley, MD

  • Internal Medicine Physician
  • Farmington, MO
National Provider Identifier
1972604908
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007007776 Issued in MO
Practice address
1106 Hazel LN
Farmington, MO 63640-1999
Phone
(573) 756-6751
Fax
(573) 760-8044
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

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 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Columbia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkland Health Center 42 clinicians
Physician Groups LC 526 clinicians

Practice addresses (Care Compare)

1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6451

1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 358-1400

1106 Hazel LN
Farmington, MO 63640-1999
Phone (573) 756-6751

1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195

1151 Hazel LN
Farmington, MO 63640-1920
Phone (573) 705-7870

7245 Raider Rd
Bonne Terre, MO 63628-3767
Phone (573) 358-4600

Hospital & facility affiliations

  • Elara Caring Home health agency, Farmington, MO, CCN 267592
  • BJC Home Care Services Home health agency, Saint Louis, MO, CCN 267276
  • BJC Hospice Hospice, Saint Louis, MO, CCN 261511
  • Parkland Health Center Hospital, Farmington, MO, CCN 260163
  • Parkland Health Center - Bonne Terre Hospital, Bonne Terre, MO, CCN 260779
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • Madison Medical Center Hospital, Fredericktown, MO, CCN 261302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070703000012 MO Practitioner - Internal Medicine 1153421276 Reassigns benefits to 2 organizations

All facility ownership & control disclosures 4

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Parkland Health Center - FarmingtonFarmington, MO, CCN 260163 Hospital Corporate Director
Operational/Managerial Control
Jan 1, 2011
Jan 1, 2011
Parkland Health Center - Bonne TerreBonne Terre, MO, CCN 260779 Hospital Corporate Director
Operational/Managerial Control
Jan 1, 2011
Jan 1, 2011
Parkland Health Center Medical ClinicFarmington, MO, CCN 268794 Rural health clinic Corporate Director
Operational/Managerial Control
Jan 1, 2011
Jan 1, 2011
Parkland Health Center Primary Care ClinicFarmington, MO, CCN 268807 Rural health clinic Corporate Director Jan 1, 2011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parkland Health Center CurrentSince Jan 1, 2023 Accepting new patients
Physician Groups LC Internal Medicine CurrentSince Nov 1, 2007 Accepting new patients
Parkland Health Center CurrentSince Jan 1, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Parkland Health Center Past Accepting new patients

Locations

7245 Raider Rd
Ste C
Bonne Terre, MO 63628
Phone (573) 358-4600

1106 Hazel Ln
Farmington, MO 63640

1103 W Liberty St
Ste 3030
Farmington, MO 63640

301 N Washington St
Ste 5
Farmington, MO 63640
Phone (573) 756-1744

1103 W Liberty St
Farmington, MO 63640
Phone (573) 760-8488

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250

Interoperability endpoints

  • Direct secure messaging: skirkley11268@direct.carenet.org
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2007007776 MO
Internal Medicine Physician 207R00000X 2007007776 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1106 Hazel LN
Farmington, MO 63640-1999

Mailing address

PO Box 957683
Saint Louis, MO 63195-1921
Phone (573) 756-6751

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
207019803MedicaidMO

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2025.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1972604908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957683",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631951921",
            "telephone_number": "573-756-6751",
            "fax_number": "573-760-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 HAZEL LN",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401999",
            "telephone_number": "573-756-6751",
            "fax_number": "573-760-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLEY",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2007007776",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007007776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207019803",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1106 Hazel Ln",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.