Skip to content
NPISignal

Individual Healthcare Provider

Kirk David Potter, D.O.

NPI Record: ActiveSurgery — Plastic and Reconstructive Surgery
NPI1003920877
Hays, Kansas

Provider's NPPES record last updated: November 28, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1003920877
Primary Specialty
Surgery — Plastic and Reconstructive Surgery
Practice Location
Hays, Kansas
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:52 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Plastic and Reconstructive Surgery

    Allopathic & Osteopathic Physicians

    Primary

    A surgeon who specializes in plastic and reconstructive surgery.

    Taxonomy code 2086S0122X
  • Surgery

    Allopathic & Osteopathic Physicians

    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

    Taxonomy code 208600000X
  • General Practice

    Allopathic & Osteopathic Physicians

    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

    Taxonomy code 208D00000X
  • Allergy & Immunology

    Allergy

    Allopathic & Osteopathic Physicians

    A physician who specializes in the diagnosis, treatment, and management of allergies.

    Taxonomy code 207KA0200X

Provider-Reported License Information

Surgery (Kansas)
05-33528
Surgery (Kansas)
05-33528
General Practice (Kansas)
05-33528
Allergy & Immunology (Kansas)
05-33528
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3012 Broadway Ave

Hays, Kansas 67601-1916

Phone: (785) 301-2250

Record Information

Enumeration Date
August 18, 2006
Provider's NPPES Record Last Updated
November 28, 2023
Certification Date
November 28, 2023
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue