Kyle Parks, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001526 Issued in IA

Practice address

2700 Coral Ridge Ave
Coralville, IA 52241-4708

Phone

(319) 665-6730

Fax

(319) 665-6721

NPI assigned

Feb 5, 2006

Last updated

Jan 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Iowa Medical & Classification Center

  • Prison Health Clinic/Center
  • Coralville, IA
  • NPI 1326448846
  NPD (past)

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

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1164494019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CORAL RIDGE AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522414708",
            "telephone_number": "319-665-6730",
            "fax_number": "319-665-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CORAL RIDGE AVE",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522414708",
            "telephone_number": "319-665-6730",
            "fax_number": "319-665-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-05",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164494019",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Frederick H Ovrom, MD
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• Parth Patel, TLMHC
• Prayag R Patel, DO
• Brandon James Patterson, PHARM.D.
• Ashley Pearson, MBA, RDN, LDN
• Pediatric Associates of Iowa City and Coralville

• Physician Assistant in Coralville, IA
• Providers in Coralville, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.