Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Kirk, DO

Individual provider Family Medicine Physician · NPI 1225584204

Michael Kirk, DO is a Family Practice in Patchogue, New York. Qualified in 2019, 7 years ago. Offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

101 Hospital Rd
Patchogue, NY 11772
Phone: (631) 654-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 300622 (NY)

Record details

NPI number1225584204
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address3601 Hempstead Tpke, Levittown, NY 11756-1315

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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