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

Michael Nels Kirk, MD

Individual provider Family Medicine Physician · NPI 1922179175

Michael Nels Kirk, MD is a Family Practice in Columbia, Illinois. Graduated from University of Missouri, Kansas City, School of Medicine in 1987, 39 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
39
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 Eleven S Ste 4A
Columbia, IL 62236-1077
Phone: (618) 206-6120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 509 Hamacher St, Waterloo, IL 62298-1592 — (618) 939-2273

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036091649 (IL)

Record details

NPI number1922179175
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020
Mailing addressPo Box 955534 Suite 103, Saint Louis, MO 63195-0001

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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