NPIMap

Individual provider Active NPI

Kyle Hardacker, MD

  • Orthopaedic Surgery Physician
  • Providence, RI
National Provider Identifier
1316505795
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD19985 Issued in RI
Practice address
2 Dudley St Ste 200
Providence, RI 02905-3248
Phone
(401) 443-4205
NPI assigned
May 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD19985 RI Primary

Addresses

Primary practice location

2 Dudley St Ste 200
Providence, RI 02905-3248

Mailing address

1 Kettle Point Ave
East Providence, RI 02914-5375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240605002578 RI Practitioner - Orthopedic Surgery 6305272220 Reassigns benefits to 1 organization
I20250618003467 KY Practitioner - Orthopedic Surgery 6305272220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopedics IncGroup PAC ID 9931000395, 185 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

2 Dudley St
Suite 200
Providence, RI 02905-3248
Phone (401) 457-1500

210 E Gray St
Suite 900
Louisville, KY 40202-3905
Phone (502) 584-7525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.76
Promoting interoperability
96
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion112
Laminectomy or laminotomy (partial removal of spine bones)38
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19985RIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 21, 2025 Accepting new patients
University Orthopedics, Inc. Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

157 Towne Dr
Ste 103
Elizabethtown, KY 42701
Phone (270) 765-5926

202 Limestone St S
Ste 1B
Frankfort, KY 40601
Phone (502) 629-2225

9880 Angies Way
Ste 300
Louisville, KY 40241
Phone (502) 629-2225

4123 Dutchmans Ln
Ste 401
Louisville, KY 40207
Phone (502) 394-6341

210 E Gray St
Ste 701
Louisville, KY 40202
Phone (502) 562-6021

9300 Stonestreet Rd
Ste 200
Louisville, KY 40272
Phone (502) 935-8061

9300 Stonestreet Rd
Ste 400
Louisville, KY 40272
Phone (502) 935-8061

4123 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 559-1777

210 E Gray St
Ste 900
Louisville, KY 40202
Phone (502) 584-8002

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

150 Frankfort Rd
Ste 102B
Shelbyville, KY 40065
Phone (502) 633-9030

1 Kettle Point Ave
East Providence, RI 02914
Phone (401) 330-1400

2 Dudley St
Ste 200
Providence, RI 02905
Phone (401) 457-1504

593 Eddy St
Providence, RI 02903

Organizations & group practices 6

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1316505795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KETTLE POINT AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053248",
            "telephone_number": "401-443-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDACKER",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-31",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "MD19985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.