Travis Andrew Kyle, PA
Individual provider Active NPI Physician Assistant · Decatur, TX
NPI 1003584608 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1003584608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA14482 (TX)
- Practice address
- 1001 W Eagle Dr
Decatur, TX 76234-3745 - Phone
- (940) 442-5209
- Fax
- (940) 222-2720
- NPI assigned
- Aug 31, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Independent Physicians Group Inc
Practice addresses (Care Compare)
1001 W Eagle Dr
Decatur, TX 76234-3745
Phone (940) 627-7443
1246 US-377 C
Pilot Point Family Practice
Pilot Point, TX 76258
Phone (940) 686-2254
309 Westpark Way
Euless, TX 76040-3902
Phone (817) 896-6344
3121 S Carrier Pkwy
Grand Prairie, TX 75052-3734
Phone (972) 266-5354
315 Westpark Way
Euless, TX 76040-3902
Phone (817) 267-0550
Hospital & facility affiliations
- Medical City Denton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211102003157 | TX | Practitioner - Physician Assistant | 0840688313 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14482 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Hospital Authority | Current | Accepting new patients | |
| Pilot Point Family Practice Management Inc. | Past | Accepting new patients |
Interoperability endpoints
- travis.kyle@4668404203524.direct.elationemr.com
- traviskyle@wise.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14482 | TX | Yes |
Addresses
Primary practice location
1001 W Eagle Dr
Decatur, TX 76234-3745
Mailing address
1512 Teasley LN
Denton, TX 76205-7282
Phone (940) 442-5209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8QG973 | Other | TX | BCBS |
| 430462801 | Medicaid | TX |
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.