Active NPI
Kyle Kennyston Himsl, MD
- Urology Physician
- Thousand Oaks, CA
National Provider Identifier
1336205731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G60233
- Practice address
- 415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1029 - Phone
- (805) 371-4707
- Fax
- (805) 371-4714
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G60233 | CA | Primary |
Addresses
Primary practice location
415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1029
Mailing address
415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1029
Phone (805) 371-4707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040317000367 | CA | Practitioner - Urology | 3870493091 | Practice locations: Thousand Oaks, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Southern California Keck School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1033
Phone (805) 371-4707
Hospital & facility affiliations
- Access TLC Home Health Care
- Los Robles Hospital & Medical Center
- Northridge Hospital Medical Center
- St Johns Regional Medical Center
- Community Memorial Hospital - Ventura
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 58 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1336205731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 ROLLING OAKS DR",
"address_2": "SUITE 260",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611029",
"telephone_number": "805-371-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 ROLLING OAKS DR",
"address_2": "SUITE 260",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611029",
"telephone_number": "805-371-4707",
"fax_number": "805-371-4714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMSL",
"first_name": "KYLE",
"middle_name": "KENNYSTON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G60233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.