Individual provider Active NPI

Kyle Hayden, DO

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1245465343
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q0452 Issued in TX
Practice address
8375 Dix Ellis Trail
Prominence 600 , Suite 201
Jacksonville, FL 32256
Phone
(904) 399-5815
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Q0452 TX Primary

Addresses

Primary practice location

8375 Dix Ellis Trail
Prominence 600 , Suite 201
Jacksonville, FL 32256

Mailing address

1303 Greenridge Rd
Jacksonville, FL 32207-5334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL, GA, AZ4 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
I20150623001396 IL Practitioner - Diagnostic Radiology 3072731041
I20191017001816 FL Practitioner - Diagnostic Radiology 3072731041 Reassigns benefits to 5 organizations
I20210226001819 GA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3072731041 Reassigns benefits to 1 organization
I20260519000763 AZ Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3072731041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians

Practice addresses (Care Compare)

10689 Big Bend Rd
Riverview, FL 33579-7176
Phone (904) 399-5550

14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460
Phone (904) 399-5550

1900 Tebeau St
Suite C
Waycross, GA 31501-6357
Phone (404) 851-6577

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2115 Little Rd
Trinity, FL 34655-4410
Phone (904) 399-5550

4055 Cordova Ave
Jacksonville, FL 32207-6020
Phone (904) 399-5550

4421 Catheys Club LN
Jacksonville, FL 32224-5670
Phone (404) 662-2438

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone (904) 399-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0452TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Feb 18, 2023 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Oct 15, 2020 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Crawford Hospital District Current Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Jun 10, 2022 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Mar 30, 2024 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology Past Accepting new patients
Northside Imaging LLC Diagnostic Radiology PastSince Nov 18, 2020 Accepting new patients

Locations

12900 Cortez Blvd
Ste 101
Brooksville, FL 34613
Phone (352) 596-1101

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962

1420 Vernon Rd
Lagrange, GA 30240
Phone (706) 880-7411

300 Medical Dr
Ste 707
Lagrange, GA 30240
Phone (706) 803-7920

303 Medical Dr
Ste 405
Lagrange, GA 30240
Phone (706) 812-2229

2200 Vernon St
Lagrange, GA 30240

106 Lukken Industrial Dr W
Lagrange, GA 30240
Phone (706) 880-7204

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1900 Tebeau St
Ste C
Waycross, GA 31501

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1025 S 6th St
Springfield, IL 62703

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

100 Medical Dr
Hannibal, MO 63401

13333 Northwest Fwy
Ste 540
Houston, TX 77040
Phone (281) 962-3608

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6800 Scenic Dr
#1550
Rowlett, TX 75088
Phone (972) 412-2273

Interoperability endpoints

  • Direct secure messaging: kylehayden@sfc.allscriptsdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1245465343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 GREENRIDGE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 DIX ELLIS TRAIL",
            "address_2": "PROMINENCE 600 , SUITE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-399-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2024-03-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q0452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.