Individual provider Active NPI

Kevin Thomas Kierl, M.D.

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1992148407
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
29830 Issued in OK
Practice address
1145 S Utica Ave FL 6
Tulsa, OK 74104-4000
Phone
(918) 579-6090
NPI assigned
Apr 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 29830 OK Primary
Emergency Medicine Physician 207P00000X E-9835 AR
Emergency Medicine Physician 207P00000X 04-38054 KS

Addresses

Primary practice location

1145 S Utica Ave FL 6
Tulsa, OK 74104-4000

Mailing address

1145 S Utica Ave Ste 365
Tulsa, OK 74104-4004
Phone (405) 650-1469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK, MO, TX4 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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150916002449 KS Practitioner - Emergency Medicine 6103133640 Reassigns benefits to 1 organization
I20150921000368 OK Practitioner - Emergency Medicine 6103133640 Reassigns benefits to 3 organizations
I20181204003871 MO Practitioner - Emergency Medicine 6103133640 Reassigns benefits to 4 organizations
I20211228000779 TX Practitioner - Emergency Medicine 6103133640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians

Practice addresses (Care Compare)

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

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

1202 N Muskogee PL
Claremore, OK 74017-3058
Phone (918) 341-2556

1400 W 4TH St
Coffeyville Medical Center Emerg Dept
Coffeyville, KS 67337-3306
Phone (620) 251-1200

Hospital & facility affiliations

  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Hillcrest Hospital Henryetta Hospital, Henryetta, OK, CCN 370183
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Bailey Medical Center, LLC Hospital, Owasso, OK, CCN 370228
  • Hillcrest Hospital Claremore Hospital, Claremore, OK, CCN 370039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-9835ARMDEmergency Medicine Physician
04-38054KSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Sep 16, 2021 Accepting new patients
Mercy Hospital Carthage Emergency Medicine Current Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Nov 22, 2018 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Sep 9, 2019 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Mercy Hospital Carthage CurrentSince Aug 20, 2023 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Aug 15, 2015 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Nov 1, 2019 Accepting new patients
Mercy Hospital Carthage CurrentSince Aug 20, 2023 Accepting new patients
Ahs Southcrest Hospital, LLC Past Accepting new patients
Ahs Claremore Regional Hospital, LLC. Past Accepting new patients
Bailey Medical Center, LLC Past Accepting new patients
Ahs Henryetta Hospital LLC Past Accepting new patients
Ahs Pryor Hospital, LLC Past Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

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

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

1145 S Utica Ave
Ste 365
Tulsa, OK 74104
Phone (402) 481-3548

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/BMC/api/FHIR/R4
  • Direct secure messaging: kkierl112893@ahs.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1992148407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE STE 365",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044004",
            "telephone_number": "405-650-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 S UTICA AVE FL 6",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044000",
            "telephone_number": "918-579-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERL",
        "first_name": "KEVIN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "29830",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-9835",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "04-38054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.