Kyle Stephen Kimura, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

2023034779 Issued in MO

Practice address

6815 Frontage Rd
Merriam, KS 66204-1398

Phone

(913) 721-3387

Fax

(816) 875-2598

NPI assigned

Apr 16, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Otolaryngology

Education

University of Kansas School of Med (KC/Wich/Sal), 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Kansas Medical Clinic PAGroup PAC ID 4981592334, 50 clinicians

Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascentist Hospital LLC Hospital, Leawood, KS, CCN 170194
• NKC Health Hospital, North Kansas City, MO, CCN 260096
• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/doct-48e85447
• FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA
• Direct secure messaging: kyle.kimura.1@12752.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kansas Medical Clinic PA

  • MOHS-Micrographic Surgery Physician
  • Topeka, KS
  • NPI 1508877523
  Medicare reassignment Care Compare group NPD
• Ascentist Physicians Group, LLC

  • Otolaryngology Physician
  • Lees Summit, MO
  • NPI 1649206319

  KS

  Medicare reassignment Care Compare group NPD
• Meritas Health Corporation

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1801875091
  Medicare reassignment Care Compare group NPD
• Meritas Health Corporation

  • Neurology Physician
  • Kansas City, MO
  • NPI 1669323291
  NPD
• Meritas Health Corporation

  • Otolaryngology Physician
  • Kansas City, MO
  • NPI 1932341419
  NPD
• Kansas City Gastroenterology & Hepatology Physicians Group, LLC

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1497019350
  NPD (past)
• Kansas Medical Clinic, PA

  • Non-Pharmacy Dispensing Site
  • Topeka, KS
  • NPI 1467825679
  NPD (past)
• Ascentist Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Harrisonville, MO
  • NPI 1558057661
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital, LLC

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1871698472
  Care Compare affiliation
• Centerpoint Medical Center of Independence, LLC

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• North Kansas City Hospital

  • Skilled Nursing Facility
  • North Kansas City, MO
  • NPI 1437103215

  Hospital

  Care Compare affiliation
• North Kansas City Hospital

  • General Acute Care Hospital
  • North Kansas City, MO
  • NPI 1629062799
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1013361005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 FRONTAGE RD",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662041398",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Clay Edwards Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163243",
            "country_code": "US",
            "telephone_number": "816-994-0040",
            "fax_number": "816-994-0044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9411 N Oak Trfy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641552262",
            "country_code": "US",
            "telephone_number": "816-468-8820",
            "fax_number": "816-468-8898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4880 NE Goodview Cir",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640641996",
            "country_code": "US",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMURA",
        "first_name": "KYLE",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-16",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "04-48159",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A178079",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "178079",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2023034779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Kennedy, M.D.
• Angela Kessen, PT, DPT
• Phil James Kilmer, DPT
• Johni Kilton, WHNP
• Kimberly K. Shara, D.C., Inc.
• Kinetic Cure Counseling Inc
• Kayla Kjelshus
• Kaitlin Klein, APRN
• Kathryn Koetters
• Tiffany Koivuniemi-Berg

• Otolaryngology Physician in Merriam, KS
• Providers in Merriam, KS by specialty
• Otolaryngology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.