Active NPI
Kyle Matthew Lester, D.O.
- Urology Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0102207451
- Practice address
- 19415 Deerfield Avenue, Suite 112
Leesburg, VA 20176 - Phone
- (703) 724-1195
- NPI assigned
- Jun 3, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | OS15935 | FL | |
| Urology Physician | 208800000X | 34.014685 | OH | |
| Urology Physician | 208800000X | 0102207451 | VA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | OT015671 | PA |
Addresses
Primary practice location
19415 Deerfield Avenue, Suite 112
Leesburg, VA 20176
Mailing address
224-D Cornwall Street, NW.
Suite 403
Leesburg, VA 20176-1987
Phone (703) 737-6010
Other practice location 1
1860 Town Center Drive, Suite 150
reston, VA 20190
Phone (703) 480-0220
Other practice location 2
24430 Stone Springs Blvd., Suite 545
dulles, VA 20166
Phone (703) 957-1022
Other practice location 3
350 W Wilson Bridge Rd Ste 100
Worthington, OH 43085-2590
Phone (614) 796-2900
Other practice location 4
224-D Cornwall Street, NW, Suite 400
leesburg, VA 20176
Phone (703) 443-6733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225441660 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1860 Town Ctr Dr
Suite 150
Reston, VA 20190-5905
Phone (703) 480-0220
19415 Deerfield Ave
Suite 112
Leesburg, VA 20176-8470
Phone (703) 724-1195
224 D Cornwall St NW
Suite 400
Leesburg, VA 20176-2704
Phone (703) 443-6733
24430 Stone Springs Blvd
Suite 525
Dulles, VA 20166-2267
Phone (703) 957-1022
6602 W Broad St
Suite B
Richmond, VA 23230-1702
Phone (804) 285-8206
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.65 of 100
- Quality
- 85.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS15935 | FL | MD | Urology Physician |
| OT015671 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Gastrointestinal Specialists LLC | Urology | Current | Accepting new patients |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Urology | Current | Accepting new patients |
| Central Ohio Urology Surgery Center, LLC | Past | Accepting new patients |
Locations
6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700
20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652
24430 Stone Springs Blvd
Ste 545
Dulles, VA 20166
Phone (703) 957-1022
19415 Deerfield Ave
Ste 112
Leesburg, VA 20176
Phone (703) 724-1195
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
224D Cornwall St NW
Ste 400
Leesburg, VA 20176
Phone (703) 443-6733
1860 Town Center Dr
Ste 150
Reston, VA 20190
Phone (703) 480-0220
6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137
Interoperability endpoints
- kyle.lester@lmg1.eclinicaldirectplus.com
- klester1344076@direct.ccf.org
Organizations & group practices 7
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.
-
dba Urogynecology Center of Northern Virginia
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Reston, VA
- NPI 1407908817
DC
-
dba Potomac Family Practice
- Family Medicine Physician
- Potomac Falls, VA
- NPI 1043334410
-
dba Loudoun Medical Group, PC 'D'
- Vascular Surgery Physician
- Reston, VA
- NPI 1588376321
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Ambulatory Surgical Clinic/Center
- Gahanna, OH
- NPI 1881948073
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
dba StoneSprings Hospital Center
- General Acute Care Hospital
- Dulles, VA
- NPI 1972904738
-
dba Reston Hospital Center
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1225441660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224-D CORNWALL STREET, NW.",
"address_2": "SUITE 403",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201761987",
"telephone_number": "703-737-6010",
"fax_number": "614-944-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19415 DEERFIELD AVENUE, SUITE 112",
"city": "LEESBURG",
"state": "VA",
"postal_code": "20176",
"telephone_number": "703-724-1195"
}
],
"practiceLocations": [
{
"address_1": "1860 Town Center Drive, Suite 150",
"address_purpose": "LOCATION",
"city": "reston",
"state": "VA",
"postal_code": "20190",
"country_code": "US",
"telephone_number": "703-480-0220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24430 Stone Springs Blvd., Suite 545",
"address_purpose": "LOCATION",
"city": "dulles",
"state": "VA",
"postal_code": "20166",
"country_code": "US",
"telephone_number": "703-957-1022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 W Wilson Bridge Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Worthington",
"state": "OH",
"postal_code": "430852590",
"country_code": "US",
"telephone_number": "614-796-2900",
"fax_number": "614-796-2901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "224-D Cornwall Street, NW, Suite 400",
"address_purpose": "LOCATION",
"city": "leesburg",
"state": "VA",
"postal_code": "20176",
"country_code": "US",
"telephone_number": "703-443-6733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESTER",
"first_name": "KYLE",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-03",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "OS15935",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "34.014685",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0102207451",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT015671",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225441660",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.