CARL D DIRKS (MD) – Internal Medicine Physician, NPI 1003808437

CARL D DIRKS (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 2002009759 (MO). The NPI Number for CARL D DIRKS (MD) is 1003808437

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
CARL D DIRKS (MD)
NPI
1003808437
Phone
(816) 502-7104
Address
901 E. 104TH ST.
Enumeration Date
22 August 2005
Last Update Date
16 November 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8165323999
Graduation Year
1999 (27 years ago)
PAC ID
9537168000
Group Practice PAC ID
3577476894
Professional Enrollment ID
I20061211000228
Address ID
MO640899317SM601XX169X500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for CARL D DIRKS (MD)

  • 901, East 104th Street, Executive Hills East, Kansas City, Jackson County, Missouri, 64131, United States

    MAILSTOP 400N

    KANSAS CITY, MO 641319712

    Phone: (816) 502-7104

    Fax: (816) 932-9670

    Type: Mailing

  • 4320, Wornall Road, Plaza-Westport, Westport, Kansas City, Jackson County, Missouri, 64111, United States

    SUITE 65

    KANSAS CITY, MO 641115941

    Phone: (816) 932-6100

    Fax: (816) 932-9002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20061211000228IInternal MedicineMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2815$0
View full utilization report →

Insurance plans in this area (ZIP 64131)

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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: 3577476894View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
Diagnostic RadiologyMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Pulmonary Disease, Internal MedicineKS
Certified Clinical Nurse Specialist (Cns)MO
Nurse PractitionerKS
Nurse PractitionerMO
Critical Care (Intensivists)TX

Reviews

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Frequently asked questions

What is CARL D DIRKS (MD)'s NPI number?
CARL D DIRKS (MD)'s NPI is 1003808437 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to CARL D DIRKS (MD)?
You should see CARL D DIRKS (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for CARL D DIRKS (MD)?
At a glance, CARL D DIRKS (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CARL D DIRKS (MD) located near Kansas City?
CARL D DIRKS (MD) currently maps to Kansas City, Missouri in this extract.
When was this NPI issued?
Enumeration for CARL D DIRKS (MD) is noted as August 22, 2005 where the registry provides it.

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