DR. KIRK DAVID WYATT M.D.
NPI 1699181495
Pediatrics - Pediatric Hematology-Oncology in Fargo, ND

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2022, Jun 9, 2021, Sep 3, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Kirk David Wyatt M.d. NPPES

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

DR. KIRK DAVID WYATT M.D. (NPI 1699181495) is an individual pediatric hematology-oncology provider in Fargo, North Dakota, licensed in Minnesota (59626) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Mayo Medical School (2014).

NPPES Registry Identity

NPI1699181495
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. KIRK DAVID WYATTCredential: M.D.
Location Address820 4TH ST NFargo, ND 58102-4539
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2014
Enumeration DateJuly 1, 2014
Last NPPES UpdateApril 29, 20225 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
NPI 1699181495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in MN · 59626
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License 59626 (MN)
820 4TH ST N, Fargo, ND 58102

Accepted Insurance

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. Kirk David Wyatt 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 ID7214153980
PECOS Enrollment IDI20200910003174
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.

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.

Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Genetic Counselor, MS
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Internal Medicine
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Nurse Practitioner
820 4TH ST N
FARGO, ND 58102
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102

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 Kirk Wyatt's NPI number?

The NPI number for Kirk Wyatt is 1699181495. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Kirk Wyatt located?

Kirk Wyatt practices at 820 4th St N, Fargo, ND 58102. The listed phone number is (701) 234-6161.

What is Kirk Wyatt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Kirk Wyatt enrolled in Medicare?

Yes. Kirk Wyatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kirk Wyatt accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Kirk Wyatt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kirk Wyatt was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.