DR. KENNETH JOHN KIRK (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1073521332

DR. KENNETH JOHN KIRK (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in Geriatric Medicine (Internal Medicine) Physician. They hold the professional credentials MD. They hold a License No. 15217 (OK). The NPI Number for DR. KENNETH JOHN KIRK (MD) is 1073521332

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH JOHN KIRK (MD)
NPI
1073521332
Phone
(918) 494-2051
Address
6506 E 89TH PL
Enumeration Date
3 August 2006
Last Update Date
1 November 2013

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9187592200
Graduation Year
1984 (42 years ago)
PAC ID
1951309301
Group Practice PAC ID
4587928817
Professional Enrollment ID
I20061117000447
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

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Provider Addresses for DR. KENNETH JOHN KIRK (MD)

  • East 89th Place, Chimney Ridge Condominiums, Tulsa, Oklahoma, 74137, United States

    TULSA, OK 741335009

    Phone: (918) 494-2051

    Fax: (918) 592-2377

    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 23 Open Payments records for all available years, with a total value of $398.

Total Amount is formed as General ($398) + Research ($0) + Ownership ($0) = $398.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($137).

Total Amount

$398

General + Research + Ownership

Payments

23

Total payment records

General Amount

$398

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-11-17

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
I20061117000447IInternal MedicineOKTBD

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
96160Administration and interpretation of patient-focused health risk assessment334126$0
99214Established patient office or other outpatient visit, 30-39 minutes223111$0
99213Established patient office or other outpatient visit, 20-29 minutes15985$0
36415Insertion of needle into vein for collection of blood sample6357$0
99406Smoking and tobacco use intensive counseling, 4-10 minutes5228$0
View full utilization report →

Insurance plans in this area (ZIP 74133)

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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: 4587928817View full group profile

Reviews

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Frequently asked questions

Does DR. KENNETH JOHN KIRK (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. KENNETH JOHN KIRK (MD) uses 1073521332.
Does the file indicate DR. KENNETH JOHN KIRK (MD) is practicing under active NPI?
Directory data currently reports DR. KENNETH JOHN KIRK (MD) as active.
What is DR. KENNETH JOHN KIRK (MD)'s primary classification?
Geriatric Medicine (Internal Medicine) Physician is the headline specialty for DR. KENNETH JOHN KIRK (MD) here. Clinical services aligned with this taxonomy classification.
Does DR. KENNETH JOHN KIRK (MD) list a practice location?
Patients near Tulsa, Oklahoma may find DR. KENNETH JOHN KIRK (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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