Individual provider Active NPI

Kyle Kirby, PA-C

  • Physician Assistant
  • Miamisburg, OH
National Provider Identifier
1326477050
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003902RX Issued in OH
Practice address
9260 Marketplace Dr Ste 102
Miamisburg, OH 45342-4478
Phone
(888) 938-3838
Fax
(888) 919-1083
NPI assigned
Nov 4, 2013
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003902RX OH Primary

Addresses

Primary practice location

9260 Marketplace Dr Ste 102
Miamisburg, OH 45342-4478

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204001876 OH Practitioner - Physician Assistant 4981830569 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Practice addresses (Care Compare)

1068 State Route 28
Milford, OH 45150-2095
Phone (513) 831-5900

1200 Vester Ave
Springfield, OH 45503-1304
Phone (937) 828-2051

1301 W 1St St
Springfield, OH 45504-1920
Phone (937) 322-6222

8459 Colerain Ave C
Cincinnati, OH 45239-3926
Phone (513) 815-3851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50-003902OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC CurrentSince Aug 11, 2026 Accepting new patients

Locations

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

9260 Marketplace Dr
Ste 102
Miamisburg, OH 45342

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

Organizations & group practices 4

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1326477050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W INNOVATION DR STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264851",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 MARKETPLACE DR STE 102",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453424478",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "KYLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003902RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miamisburg, OH

Sources for this page

Verify at the official NPI Registry.