Individual provider Active NPI

Kyle Dore, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1154617009
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116266 Issued in FL
Practice address
25 South Terry Avenue
Orlando, FL 32805
Phone
(844) 407-4070
Fax
(407) 743-3050
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116266 FL Primary
Physician Assistant 363A00000X PA4195 MA

Addresses

Primary practice location

25 South Terry Avenue
Orlando, FL 32805

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (484) 214-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901002075 FL Practitioner - Physician Assistant 4082882568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System Sunbelt, Inc.Group PAC ID 6406849256, 212 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2325 W Fairbanks Ave
Winter Park, FL 32789-4511

25 S Terry Ave
Suite 320
Orlando, FL 32805-1843
Phone (844) 407-4070

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
77.92
Promoting interoperability
99
Improvement activities
40
Cost
79.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116266FLMDPhysician Assistant

Practice roles (6 of 8)

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc. Physician Assistant CurrentSince Sep 22, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 1, 2025 Accepting new patients
Rothman Orthopaedics of Florida,PLLC CurrentSince Sep 6, 2022 Accepting new patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Mar 1, 2025 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Sep 22, 2022 Accepting new patients
David E. Adelberg MD Inc. Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

265 E Rollins St
Ste 11100
Orlando, FL 32804
Phone (407) 502-6919

255 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-6070

255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 8

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1154617009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "484-214-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SOUTH TERRY AVENUE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32805",
            "telephone_number": "844-407-4070",
            "fax_number": "407-743-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORE",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116266",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.