DR. KIRK C SO (M.D.) – Diagnostic Radiology Physician, NPI 1780610345

DR. KIRK C SO (M.D.) is a healthcare provider. based in Walnut creek, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A87456 (CA). The NPI Number for DR. KIRK C SO (M.D.) is 1780610345

Main info

Male
27 Years Of Experience
Name
DR. KIRK C SO (M.D.)
NPI
1780610345
Phone
(925) 296-7150
Address
2125 OAK GROVE RD
Enumeration Date
24 June 2006
Last Update Date
2 April 2015

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
9252967150
Graduation Year
1999 (27 years ago)
PAC ID
5991744617
Group Practice PAC ID
9537069125
Professional Enrollment ID
I20200407000861
Address ID
HI968134902HO500XXBLVD404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for DR. KIRK C SO (M.D.)

  • 2125, Oak Grove Road, Shadelands Business Park, Walnut Creek, Contra Costa County, California, 95498, United States

    SUITE 200

    WALNUT CREEK, CA 945982536

    Phone: (925) 296-7150

    Fax: (925) 296-7171

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-03-21 • Largest payer in this snapshot: HeartFlow, Inc. ($50).

Total Amount

$50

General + Research + Ownership

Payments

2

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
HeartFlow, Inc.$50
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050502000547IDiagnostic RadiologyCATBD
I20200403001610IDiagnostic RadiologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9585Injection, gadobutrol, 0.1 ml12,350146$0
77067Screening mammography398398$0
77063Screening 3d breast mammography397397$0
71045X-ray of chest, 1 view333326$0
70450Ct scan head or brain without contrast307293$0
View full utilization report →

Insurance plans in this area (ZIP 94598)

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Provider's Procedures

DR. KIRK C SO (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71010X-ray of chest, 1 view, front921805
DIAGNOSTIC RADIOLOGYCA71250CT scan chest2625
DIAGNOSTIC RADIOLOGYCA73110X-ray of wrist, minimum of 3 views1414
DIAGNOSTIC RADIOLOGYCA74177CT scan of abdomen and pelvis with contrast5252
DIAGNOSTIC RADIOLOGYCA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers5757

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537069125View full group profile
NameSpecialtyState
Diagnostic Radiology, Nuclear MedicineCA
-CA
-CA
Diagnostic RadiologyNC
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic Radiology, Interventional Radiology, Diagnostic RadiologyCA
Diagnostic Radiology, Pediatric MedicineCA

Reviews

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Frequently asked questions

How is DR. KIRK C SO (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KIRK C SO (M.D.) with NPI 1780610345.
Does the file indicate DR. KIRK C SO (M.D.) is practicing under active NPI?
Directory data currently reports DR. KIRK C SO (M.D.) as active.
What healthcare role does DR. KIRK C SO (M.D.) hold?
Scheduling teams often label DR. KIRK C SO (M.D.) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. KIRK C SO (M.D.) on a map?
Expect Walnut Creek, California as a primary anchor for DR. KIRK C SO (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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