DR. MARK RAY KILLMAN M.D. NPI 1194778910

NPI Information

  • NPI: 1194778910
  • Provider Name: DR. MARK RAY KILLMAN, M.D.
  • Classification: Rehabilitation Practitioner - 225400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19550 E 39TH ST S
    SUITE 415
    INDEPENDENCE, MO
    ZIP 64057
  • Phone: (816) 254-9595

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NPI Details

DR. Mark Ray Killman, M.D. is a rehabilitation practitioner in Independence, MO with 35 years of experience. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. DR. Mark Ray Killman, M.D. NPI is 1194778910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1991

The provider's business location address is:

19550 E 39TH ST S
SUITE 415
INDEPENDENCE, MO
ZIP 64057-303
Phone: (816) 254-9595
Fax: (816) 836-3810

The NPI 1194778910 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Nerve conduction, 13 or more studies (HCPCS:95913)
  • Nerve conduction, 7-8 studies (HCPCS:95910)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Nerve conduction, 9-10 studies (HCPCS:95911)
  • Nerve conduction, 11-12 studies (HCPCS:95912)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Nerve conduction, 3-4 studies (HCPCS:95908)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 9/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation Practitioner107716MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10008970MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
2F40986MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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