Active NPI
Kyle Robert Sears, M.D.
- Internal Medicine Physician
- Seattle, WA
National Provider Identifier
1184086258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD214605
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-2420 - Phone
- (206) 520-5000
- NPI assigned
- Mar 28, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD214605 | OR | Primary |
| Hospitalist Physician | 208M00000X | MD60880525 | WA | |
| Internal Medicine Physician | 207R00000X | MD60880525 | WA |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-2420
Mailing address
1959 NE Pacific St
Box 356421
Seattle, WA 98195-6421
Other practice location 1
727 W Burnside St
Portland, OR 97209-3514
Phone (503) 228-4533
Other practice location 2
1535 N Williams Ave
Portland, OR 97227-1885
Phone (503) 238-2067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184086258 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260211001409 | OR | Order and Referring Only - Internal Medicine | 9436442779 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD214605 | OR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1184086258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "BOX 356421",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981956421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981952420",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [
{
"address_1": "727 W Burnside St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972093514",
"country_code": "US",
"telephone_number": "503-228-4533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1535 N Williams Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271885",
"country_code": "US",
"telephone_number": "503-238-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEARS",
"first_name": "KYLE",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-28",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD214605",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD60880525",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60880525",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184086258",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.