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DR. SAMUEL D VAN KIRK MD
NPI 1417052226
Obstetrics & Gynecology in Redding, CA

Active since September 14, 2006Opted out of Medicare · through Apr 13, 2027CLIA 05D1080395 · Microscopy
2139 AIRPARK DR, REDDING, CA 96001(530) 247-0270(530) 247-0271 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Samuel D Van Kirk Md NPPES

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

DR. SAMUEL D VAN KIRK MD (NPI 1417052226) is an individual obstetrics & gynecology provider in Redding, California, licensed in California (A86026) and active in the NPI registry since September 2006. He has opted out of Medicare through April 13, 2027 and remains eligible to order and refer and holds a CLIA Microscopy certificate valid through February 20, 2028.

NPPES Registry Identity

NPI1417052226
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SAMUEL D VAN KIRKCredential: MD
Location Address2139 AIRPARK DRRedding, CA 96001-2433
Mailing AddressPo Box 496084Redding, CA 96049-6084 · (530) 247-0270 · Fax (530) 247-0271
Phone(530) 247-0270
Fax(530) 247-0271
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1417052226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A86026
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X
2139 AIRPARK DR, Redding, CA 96001
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0094810CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Samuel D Van Kirk Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 13, 2015 through April 13, 2027.

Opt-Out Effective DateApril 13, 2015
Opt-Out In Effect ThroughApril 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1080395

Samuel D Van Kirk MD · Redding, CA
Active · expires Feb 20, 2028
CLIA Number05D1080395
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorSamuel D. Van Kirk MD
Laboratory Phone(530) 247-0270
Laboratory LocationSamuel D Van Kirk MD2139 Airpark Drive, Redding, CA 96001
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96001 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

ALISON LEE RUSSELL
Doula
2139 AIRPARK DR
REDDING, CA 96001
Shasta County (530) 247-0270
BRANDE MOFFATT MPT
Physical Therapist
2139 AIRPARK DR
REDDING, CA 96001
Shasta County (530) 242-1728
SAMUEL D VAN KIRK MD, INC
Obstetrics & Gynecology (Obstetrics)
2139 AIRPARK DR
REDDING, CA 96001
Shasta County (530) 247-0270
GREENVILLE RANCHERIA
Obstetrics & Gynecology
2139 AIRPARK DR
REDDING, CA 96001
Shasta County (530) 247-0270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Van Kirk's NPI number?

The NPI number for Samuel Van Kirk is 1417052226. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Samuel Van Kirk located?

Samuel Van Kirk practices at 2139 Airpark Dr, Redding, CA 96001. The listed phone number is (530) 247-0270.

What is Samuel Van Kirk's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Samuel Van Kirk enrolled in Medicare?

No. Samuel Van Kirk has opted out of Medicare through April 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Samuel Van Kirk hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1080395) is associated with this NPI, valid through February 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Samuel Van Kirk was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.