Individual provider Active NPI

Michael K Kyles, MD

  • Orthopaedic Surgery Physician
  • South Boston, VA
National Provider Identifier
1073544094
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
23806 Issued in OK
Practice address
422 Hamilton Blvd
South Boston, VA 24592-5200
Phone
(434) 572-4074
Fax
(434) 572-4712
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 23806 OK Primary

Addresses

Primary practice location

422 Hamilton Blvd
South Boston, VA 24592-5200

Mailing address

PO Box 860
South Boston, VA 24592-0860
Phone (434) 517-3590

Other identifiers 1

IdentifierTypeStateIssuer
1073544094MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080920000138 VA Practitioner - Orthopedic Surgery 1951388321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Virginia Commonwealth University, School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Therapies of Roanoke, Inc.Group PAC ID 3375710619, shared by 5 NPIs, 272 clinicians
Dominion Health Medical AssocGroup PAC ID 1254311558, 35 clinicians

Practice addresses (Care Compare)

165 Holt Garrison Pkwy
Danville, VA 24540-5949
Phone (434) 688-0163

422 Hamilton Blvd
South Boston, VA 24592-5200
Phone (434) 572-4074

Hospital & facility affiliations

  • Sentara Home Care Services (Halifax) Home health agency, South Boston, VA, CCN 497287
  • Sentara Halifax Regional Hospital Hospital, South Boston, VA, CCN 490013

Merit-based Incentive Payment System (MIPS)

Final score
87.02 of 100Reported as group
Quality
66.66
Promoting interoperability
100
Improvement activities
40
Cost
90.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Health Medical Assoc. CurrentSince Sep 1, 2010 Accepting new patients
Dominion Health Medical Assoc CurrentSince Sep 1, 2010 Accepting new patients
Neurosurgical Services PLLC Past Accepting new patients
Neurosurgical Services PLLC Past Accepting new patients
Dominion Health Medical Associates LTD Past Accepting new patients

Locations

946 N Main St
Chase City, VA 23924
Phone (434) 372-5141

422 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-4074

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

Interoperability endpoints

  • Direct secure messaging: mkyles528407@direct.sentara.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1073544094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245920860",
            "telephone_number": "434-517-3590",
            "fax_number": "434-517-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 HAMILTON BLVD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245925200",
            "telephone_number": "434-572-4074",
            "fax_number": "434-572-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLES",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "23806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073544094",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.