DR. CARLOS ALBERTO URDININEA KIRKWOOD M.D.
NPI 1003120783
Internal Medicine in Havana, IL

Q: What is Carlos Urdininea Kirkwood's NPI number?

The NPI number for Carlos Urdininea Kirkwood is 1003120783. It was assigned to this individual provider in the NPPES registry on August 4, 2010.

Q: What is Carlos Urdininea Kirkwood's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 04, 2010PECOS EnrolledAccepts Medicare Assignment

95.01/100

CMS Quality Rating

615 N PROMENADE ST, HAVANA, IL 62644(309) 543-6600 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Dr. Carlos Alberto Urdininea Kirkwood M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CARLOS ALBERTO URDININEA KIRKWOOD M.D. (NPI 1003120783) is an individual internal medicine provider in Havana, Illinois, licensed in Illinois (125058668) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Mason District Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1003120783

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. CARLOS ALBERTO URDININEA KIRKWOODCredential: M.D.

Location Address615 N PROMENADE STHavana, IL 62644-1243

Mailing AddressPo Box 530Havana, IL 62644-0530 · (309) 543-6600 · Fax (309) 543-2089

Phone(309) 543-6600

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 4, 2010

Last NPPES UpdateJanuary 27, 2017

✔ NPI 1003120783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 125058668

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

615 N PROMENADE ST, Havana, IL 62644

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos Alberto Urdininea Kirkwood M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284948415

PECOS Enrollment IDI20150803000029

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mason District Hospital

Critical Access Hospitals · Havana, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141313

Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County

Emergency services

Sarah D Culbertson Memorial Hospital

Critical Access Hospitals · Rushville, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141333

Location238 South Congress StreetRushville, IL 62681 · Schuyler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62644 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.02

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers25 claims53 services$6.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$19.50 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$109.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAYLA R MILLER M.D.

Internal Medicine