Individual provider Active NPI

Kyle William Sheets

  • Diagnostic Radiology Physician
  • Tampa, FL
National Provider Identifier
1407485014
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2024047161 Issued in MO
Practice address
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Phone
(813) 974-2201
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2024047161 MO Primary

Addresses

Primary practice location

17 Davis Blvd Ste 308
Tampa, FL 33606-3438

Mailing address

17 Davis Blvd Ste 308
Tampa, FL 33606-3438

Other practice location 1

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, TX, ND, AZ, GA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20250515003132 FL Practitioner - Diagnostic Radiology 0042738890 Reassigns benefits to 5 organizations
I20250721003761 AL Practitioner - Diagnostic Radiology 0042738890 Reassigns benefits to 2 organizations
I20250909000434 TX Practitioner - Diagnostic Radiology 0042738890 Reassigns benefits to 1 organization
I20251212001478 ND Practitioner - Diagnostic Radiology 0042738890 Reassigns benefits to 1 organization
I20260105002144 AZ Practitioner - Diagnostic Radiology 0042738890 Reassigns benefits to 1 organization
I20260216000626 GA Practitioner - Diagnostic Radiology 0042738890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Sanford ClinicGroup PAC ID 4385882976, 57 clinicians
Concord Radiology PLLCGroup PAC ID 8628332061, 217 clinicians
Tanner Neuroscience SpecialistGroup PAC ID 3375801434, 15 clinicians
ER Physician Group at Jackson HospitalGroup PAC ID 8729059472, 153 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

Tampa, FL 33616
Phone (469) 677-7430

1032 Main St S
Wedowee, AL 36278-7440
Phone (770) 812-9697

4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200

575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090

600 S 3Rd St
Gadsden, AL 35901-5304
Phone (256) 467-4731

705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9297

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024047161MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Jun 17, 2025 Accepting new patients
Prime Healthcare Services-Gadsden Physician Management LLC Family Medicine CurrentSince Jun 1, 2025 Accepting new patients
Sanford Clinic Diagnostic Radiology CurrentSince Sep 21, 2025 Accepting new patients
ER Physician Group at Jackson Hospital CurrentSince Jul 1, 2025 Accepting new patients
Coaxion PLLC Diagnostic Radiology CurrentSince Dec 30, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
Mt Graham Regional Medical Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Tanner Neuroscience Specialist CurrentSince Dec 1, 2025 Accepting new patients
Peterson Medical Associates Family Medicine CurrentSince Aug 18, 2025 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

1032 Main St S
Wedowee, AL 36278
Phone (256) 357-2111

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

4250 Hospital Dr
Marianna, FL 32446
Phone (850) 526-2200

17 Davis Blvd
Ste 308
University of Tampa, FL 33606
Phone (813) 250-2506

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

4820 23rd Ave S
Fargo, ND 58104

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

200 E Interstate 2
San Juan, TX 78589
Phone (956) 782-3300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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 6

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1407485014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD STE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 DAVIS BLVD STE 308",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063438",
            "telephone_number": "813-974-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "FL",
            "postal_code": "324461917",
            "country_code": "US",
            "telephone_number": "850-526-2200",
            "fax_number": "850-718-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "KYLE",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2024047161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.