Individual provider Active NPI

Kyle M Suire, DO

  • Family Medicine Physician
  • Hutto, TX
National Provider Identifier
1073715355
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q1030 Issued in TX
Practice address
151 Exchange Blvd Ste 500
Hutto, TX 78634-5381
Phone
(512) 846-1244
Fax
(512) 406-7324
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q1030 TX Primary

Addresses

Primary practice location

151 Exchange Blvd Ste 500
Hutto, TX 78634-5381

Mailing address

6210 East US Hwy 290
Ste. 420 - Credentialing
Austin, TX 78723-1098
Phone (512) 338-3826

Other identifiers 3

IdentifierTypeStateIssuer
343318703MedicaidTX
Q1030OtherTXLICENSE
343318701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150210002282 TX Practitioner - Family Practice 4587756358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

940 Hesters Crossing Rd
Round Rock, TX 78681-8018
Phone (512) 244-9024

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC Current Accepting new patients
Austin Regional Clinic, PA Family Medicine CurrentSince May 14, 2020 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Nov 3, 2014 Accepting new patients
Austin Regional Clinic, PA CurrentSince May 14, 2020 Accepting new patients

Locations

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215
Phone (480) 289-7890

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

12701 Ranch Road 620 N
Austin, TX 78750
Phone (512) 233-1260

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

11714 Wilson Parke Ave
Ste 150
Austin, TX 78726
Phone (512) 346-6611

6210 E Highway 290
Ste 420
Austin, TX 78723
Phone (512) 338-3802

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

1331 Northpark Dr
#101
Kingwood, TX 77339
Phone (281) 359-5330

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • Direct secure messaging: ksuire24868@arcmd.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1073715355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 EAST US HWY 290",
            "address_2": "STE. 420 - CREDENTIALING",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231098",
            "telephone_number": "512-338-3826",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EXCHANGE BLVD STE 500",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345381",
            "telephone_number": "512-846-1244",
            "fax_number": "512-406-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUIRE",
        "first_name": "KYLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343318703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "Q1030",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343318701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutto, TX

Sources for this page

Verify at the official NPI Registry.