Individual provider Active NPI

Kyle McKey

  • Cornea and External Diseases Specialist Physician
  • Grand Rapids, MI
National Provider Identifier
1205360062
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
4301506698 Issued in MI
Practice address
1000 E Paris Avenue SE
Ste 130
Grand Rapids, MI 49546-3680
Phone
(616) 949-2001
Fax
(616) 949-8620
NPI assigned
Apr 18, 2017
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X 2021-00998 NC
Ophthalmology Physician 207W00000X MT214997 PA
Cornea and External Diseases Specialist Physician 207WX0120X 4301506698 MI Primary

Addresses

Primary practice location

1000 E Paris Avenue SE
Ste 130
Grand Rapids, MI 49546-3680

Mailing address

1000 E Paris Avenue SE
Ste 130
Grand Rapids, MI 49546-3680
Phone (616) 949-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706001404 MI Practitioner - Ophthalmology 9739423633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wake Forest University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verdier Eye Center PLCGroup PAC ID 0042203960, 9 clinicians

Practice addresses (Care Compare)

1000 E Paris Ave SE
Suite 130
Grand Rapids, MI 49546-3680
Phone 61694920011150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.69 of 100Reported as group
Quality
94.84
Improvement activities
40
Cost
75.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT214997PAMDOphthalmology Physician
4301506698MIMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verdier Eye Center, PLC Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
East Paris Surgical Center, LLC Past Accepting new patients
Duke Health Integrated Practice, Inc. Past Accepting new patients

Locations

1000 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 285-1800

1000 East Paris Ave SE
Ste 130
Grand Rapids, MI 49546
Phone (616) 949-2001

1000 East Paris Ave SE
Ste LL1
Grand Rapids, MI 49546
Phone (616) 464-3430

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kyle.mckey.p1@direct.verdiereyecenter.nextgenshare.com
  • Direct secure messaging: kyle.mckey.p1@direct.willseye.nextgenshare.com

Organizations & group practices 3

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.

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1205360062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVENUE SE",
            "address_2": "STE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-949-2001",
            "fax_number": "616-949-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVENUE SE",
            "address_2": "STE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-949-2001",
            "fax_number": "616-949-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEY",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2021-00998",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MT214997",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "MI",
            "license": "4301506698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.