Individual provider Active NPI

Kyle Tyson Curtis, DO

  • Obstetrics & Gynecology Physician
  • Kennewick, WA
National Provider Identifier
1366675803
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OP60404807 Issued in WA
Practice address
320 W 10TH Ave
Suite 102
Kennewick, WA 99336-6302
Phone
(850) 376-3631
NPI assigned
Sep 1, 2009
Last updated
May 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X OP60404807 WA Primary

Addresses

Primary practice location

320 W 10TH Ave
Suite 102
Kennewick, WA 99336-6302

Mailing address

320 W 10TH Ave
Suite 102
Kennewick, WA 99336-6302
Phone (850) 376-3631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140718000972 WA Practitioner - Obstetrics/Gynecology 7517183031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCCH Trios Health LLCGroup PAC ID 5799035416, 65 clinicians

Practice addresses (Care Compare)

216 W 10TH Ave
Kennewick, WA 99336-6304

3730 Plaza Way
Kennewick, WA 99338-2718

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP60404807WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCCH Trios Health LLC CurrentSince Aug 1, 2018 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
RCCH Trios Health LLC Past Accepting new patients

Locations

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

320 W 10th Ave
Ste 102
Kennewick, WA 99336
Phone (509) 221-5910

3730 Plaza Way
Ste 6200
Kennewick, WA 99338
Phone (509) 221-6600

900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111

Interoperability endpoints

  • Direct secure messaging: kyle.curtis.1@18485.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1366675803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W 10TH AVE",
            "address_2": "SUITE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366302",
            "telephone_number": "850-376-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 10TH AVE",
            "address_2": "SUITE 102",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366302",
            "telephone_number": "850-376-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "KYLE",
        "middle_name": "TYSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "OP60404807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.