Active NPI
Kyle M Suire, DO
- Family Medicine Physician
- Hutto, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- Q1030
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343318703 | Medicaid | TX | |
| Q1030 | Other | TX | LICENSE |
| 343318701 | Medicaid | TX |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Austin Regional Clinic, PA | Family Medicine | Current | Accepting new patients |
| Ucp Physicians of Central Texas, PLLC | Current | Accepting new patients | |
| Austin Regional Clinic, PA | Current | 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
- 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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1821157579
-
- Urgent Care Clinic/Center
- Georgetown, TX
- NPI 1922289412
-
- Durable Medical Equipment & Medical Supplies
- Kyle, TX
- NPI 1235746413
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1154472967
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.