Individual provider Active NPI

Kyle Windsor Debenham, M.D.

  • Emergency Medicine Physician
  • Vienna, VA
National Provider Identifier
1225067325
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101266146 Issued in VA
Practice address
180 Maple Ave W
Vienna, VA 22180-5727
Phone
(703) 938-5300
Fax
(703) 242-0726
NPI assigned
Jul 1, 2006
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101266146 VA Primary

Addresses

Primary practice location

180 Maple Ave W
Vienna, VA 22180-5727

Mailing address

PO Box 791775
Baltimore, MD 21279-1775
Phone (571) 302-5000

Other identifiers 1

IdentifierTypeStateIssuer
106133017MedicaidWY

Other names 1

  • Dr. Kyle Windsor Tilder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT, DC, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150701000753 TX Practitioner - Emergency Medicine 1759341183 Reassigns benefits to 1 organization
I20150721001284 MT Practitioner - Emergency Medicine 1759341183 Reassigns benefits to 2 organizations
I20220530000216 DC Practitioner - Emergency Medicine 1759341183 Reassigns benefits to 2 organizations
I20220602000203 VA Practitioner - Emergency Medicine 1759341183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York Medical College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

2019 Broadwater Ave
Billings, MT 59102-4810
Phone (406) 237-5200

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

6230 Rolling Rd
Suite Ij
Springfield, VA 22152-2307
Phone (571) 565-6460

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Nov 14, 2016 Accepting new patients
SCL Health Montana Current Accepting new patients
SCL Health Montana CurrentSince Jun 30, 2015 Accepting new patients
Inova Health Care Services CurrentSince May 16, 2022 Accepting new patients
SCL Health Medical Group - Billings LLC CurrentSince Nov 14, 2016 Accepting new patients
Inova Ucc LLC CurrentSince Nov 15, 2022 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Jun 8, 2015 Accepting new patients
Inova Health Care Services CurrentSince May 16, 2022 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Jun 8, 2015 Accepting new patients
SCL Health Montana CurrentSince Jun 30, 2015 Accepting new patients
Inova Health Care Services Current Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients

Locations

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

2019 Broadwater Ave
Billings, MT 59102
Phone (406) 237-5200

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Interoperability endpoints

  • Direct secure messaging: kdebenham1063755@soc.inova.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1225067325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791775",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791775",
            "telephone_number": "571-302-5000",
            "fax_number": "571-302-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAPLE AVE W",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805727",
            "telephone_number": "703-938-5300",
            "fax_number": "703-242-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBENHAM",
        "first_name": "KYLE",
        "middle_name": "WINDSOR",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101266146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106133017",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "TILDER",
            "middle_name": "WINDSOR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.