Individual provider Active NPI

Kyle Reynolds, M.D.

  • Vascular Surgery Physician
  • Washington, DC
National Provider Identifier
1417334525
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD048284 Issued in DC
Practice address
3800 Reservoir Rd NW FL 4
Washington, DC 20007-2113
Phone
(202) 444-2255
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D0089750 MD
Vascular Surgery Physician 2086S0129X MD048284 DC Primary

Addresses

Primary practice location

3800 Reservoir Rd NW FL 4
Washington, DC 20007-2113

Mailing address

3800 Reservoir Rd NW FL 4
Washington, DC 20007-2113
Phone (202) 444-2255

Other practice location 1

110 Irving St NW
Department of Vascular Surgery
Washington, DC 20010-3017
Phone (202) 877-3536

Other practice location 2

18101 Prince Philip Dr Ste 5200
Olney, MD 20832-1514
Phone (301) 570-7455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201022000241 DC Practitioner - Vascular Surgery 8820418395 Reassigns benefits to 3 organizations
I20241119002773 MD Practitioner - Vascular Surgery 8820418395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
New York Medical College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians

Practice addresses (Care Compare)

3007 Tilden St NE
Suite 5N
Washington, DC 20008-3030

3007 Tilden St NW
Washington, DC 20008-3030

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (410) 933-2424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
66.29
Promoting interoperability
100
Improvement activities
40
Cost
74.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)82
Removal of tissue21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048284DCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Physician Group LLC Vascular Surgery Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2025 Accepting new patients
WHC Emerg Phys CurrentSince Aug 31, 2020 Accepting new patients
WHC Physician Group LLC CurrentSince Aug 31, 2020 Accepting new patients
Medstar Heart Institute LLC CurrentSince Dec 11, 2022 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Medstar Washington Hospital Center Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3007 Tilden St NW
Ste 5N
Washington, DC 20008

3800 Reservoir Rd NW
Fl 4
Washington, DC 20007
Phone (202) 444-2255

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

18101 Prince Philip Dr
Ste 5200
Olney, MD 20832
Phone (301) 570-7455

18109 Prince Philip Dr
Ste B100
Olney, MD 20832
Phone (301) 774-8820

Organizations & group practices 7

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 4

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1417334525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW FL 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW FL 4",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW",
            "address_2": "Department of Vascular Surgery",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-3536",
            "fax_number": "202-877-3699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18101 Prince Philip Dr Ste 5200",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321514",
            "country_code": "US",
            "telephone_number": "301-570-7455",
            "fax_number": "301-570-7456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0089750",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "DC",
            "license": "MD048284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.