Active NPI
Kyle Benjamin Vinson, MD
- Retina Specialist (Ophthalmology) Physician
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 70683
- Practice address
- 1432 Kimbrough Rd
Germantown, TN 38138-2405 - Phone
- (901) 767-4499
- NPI assigned
- Mar 24, 2020
- Last updated
- Jun 13, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 70683 | TN | Primary |
Addresses
Primary practice location
1432 Kimbrough Rd
Germantown, TN 38138-2405
Mailing address
1432 Kimbrough Rd
Germantown, TN 38138-2405
Phone (901) 767-4499
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of South Carolina School of Medicine, Greenville, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1432 Kimbrough Rd
Germantown, TN 38138-2405
Phone (901) 767-4499
2085 Goodman Rd W
Horn Lake, MS 38637-1416
Phone (901) 767-4499
2684 W Oxford Loop
Oxford, MS 38655-4466
Phone (901) 767-4499
303 W Polk Ave
Suite a
West Memphis, AR 72301-4235
Phone (901) 767-4499
6947 Crumpler Blvd
Olive Branch, MS 38654-1922
Phone (901) 767-4499
930 Madison Ave
Suite 200
Memphis, TN 38103-3410
Phone (901) 448-6650
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.36 of 100
- Quality
- 82.73
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Medical Group, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Charles Retina Institute PC | Current | Accepting new patients | |
| Ut Medical Group Inc | Retina Specialist | Current | Accepting new patients |
Locations
601 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-6396
637 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 931-3338
303 W Polk Ave
West Memphis, AR 72301
Phone (423) 483-4496
303 W Polk Ave
Ste A
West Memphis, AR 72301
Phone (870) 732-2100
6947 Crumpler Blvd
#100
Olive Branch, MS 38654
Phone (662) 893-3300
6947 Crumpler Blvd
Ste 101
Olive Branch, MS 38654
2684 West Oxford Loop
Oxford, MS 38655
Phone (901) 683-0399
391 Southcrest Cir
Ste 108
Southaven, MS 38671
Phone (662) 349-0910
7600 Airways Blvd
Ste F
Southaven, MS 38671
Phone (662) 349-5901
401 E Tickle St
Dyersburg, TN 38024
Phone (731) 286-2801
1432 Kimbrough Rd
Germantown, TN 38138
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
5350 Poplar Ave
Ste 950
Memphis, TN 38119
Phone (901) 683-4600
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
4759 Easley Ave
Millington, TN 38053
Phone (901) 448-6650
Interoperability endpoints
- kylevinson@nmhs.medalliesdirect.net
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.
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1326919200
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1356978977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 KIMBROUGH RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382405",
"telephone_number": "901-767-4499",
"fax_number": "434-243-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 KIMBROUGH RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382405",
"telephone_number": "901-767-4499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "KYLE",
"middle_name": "BENJAMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "TN",
"license": "70683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.