Individual provider Active NPI

Kyle T Ginnaty, PA

  • Physician Assistant
  • Omaha, NE
National Provider Identifier
1194451377
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3072 Issued in NE
Practice address
7100 West Center Rd
Omaha, NE 68106-2714
Phone
(402) 506-9000
Fax
(402) 506-9093
NPI assigned
Jul 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3072 NE Primary

Addresses

Primary practice location

7100 West Center Rd
Omaha, NE 68106-2714

Mailing address

7100 West Center Rd
Omaha, NE 68106-2714
Phone (402) 506-9000

Other identifiers 1

IdentifierTypeStateIssuer
10028941404MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240719001103 NE Practitioner - Physician Assistant 3173069713 Reassigns benefits to 3 organizations
I20260330000350 IA Practitioner - Physician Assistant 3173069713

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coddington Medical Family Practice LLCGroup PAC ID 5991936841, 4 clinicians
Think Aksarben LLCGroup PAC ID 9638394505, 77 clinicians

Practice addresses (Care Compare)

1336 W a St
Suite a
Lincoln, NE 68522-1231
Phone (402) 438-0101

7100 W Ctr Rd
Omaha, NE 68106-2714
Phone (402) 506-9000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pgfhgs Holdings LLC CurrentSince Feb 19, 2026 Accepting new patients

Locations

1221 E Pierce St
Ste 100
Council Bluffs, IA 51503
Phone (402) 671-2644

7 Elliott St
Council Bluffs, IA 51503
Phone (531) 867-4466

2255 S 132nd St
Ste 100
Omaha, NE 68144
Phone (402) 614-4969

Interoperability endpoints

  • Direct secure messaging: kyleginnaty@cmfp.allscriptsdirect.net

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": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1194451377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 WEST CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062714",
            "telephone_number": "402-506-9000",
            "fax_number": "402-506-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 WEST CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062714",
            "telephone_number": "402-506-9000",
            "fax_number": "402-506-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINNATY",
        "first_name": "KYLE",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-28",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028941404",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.