Individual provider Active NPI

Kyle Greene, M.D.

  • Hematology & Oncology Physician
  • Las Vegas, NV
National Provider Identifier
1033470364
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
28261 Issued in NV
Practice address
2300 W Charleston Blvd
Las Vegas, NV 89102-2149
Phone
(702) 724-8787
NPI assigned
Jun 4, 2012
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A126756 CA
Hematology & Oncology Physician 207RH0003X 28261 NV Primary

Addresses

Primary practice location

2300 W Charleston Blvd
Las Vegas, NV 89102-2149

Mailing address

5504 W 138TH PL
Hawthorne, CA 90250-6442
Phone (801) 628-6213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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

Enrollment IDStateProvider typePAC IDDetails
I20150211001595 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1951626092 Reassigns benefits to 2 organizations
I20251117001598 NV Practitioner - Medical Oncology 1951626092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Albany Medical College of Union University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Group Rhodes P CGroup PAC ID 1052390036, 53 clinicians

Practice addresses (Care Compare)

2300 W Charleston Blvd
Las Vegas, NV 89102-2149
Phone (702) 724-8787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126756CAMDInternal Medicine Physician
28261NVMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C CurrentSince Nov 3, 2025 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Nov 3, 2025 Accepting new patients
Dignity Health Current Accepting new patients
Pih Health Physicians CurrentSince Jul 16, 2020 Accepting new patients
Dignity Health CurrentSince Sep 30, 2024 Accepting new patients
Dignity Health CurrentSince Sep 30, 2024 Accepting new patients
Pih Health Physicians Current Accepting new patients
Bright Health Physicians of Pih CurrentSince Jul 16, 2020 Accepting new patients
Pih Health Physicians Past Accepting new patients

Locations

11480 Brookshire Ave
Ste 201
Downey, CA 90241
Phone (562) 869-4567

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

12462 Putnam St
Whittier, CA 90602
Phone (562) 789-5430

12462 Putnam St
Ste 206
Whittier, CA 90602
Phone (562) 789-5480

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

2300 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 724-8787

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1033470364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 W 138TH PL",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506442",
            "telephone_number": "801-628-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022149",
            "telephone_number": "702-724-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A126756",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NV",
            "license": "28261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.