Kyle Christopher Phillips, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02620 Issued in TX

Practice address

5656 Bee Cave Rd
Suite K200
West Lake Hills, TX 78746-5280

Phone

(512) 329-6644

Fax

(512) 891-6399

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Convenientmd LLCGroup PAC ID 2062667033, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Ellsworth, ME
  • NPI 1780375220
  Medicare reassignment Care Compare group NPD
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Westbrook, ME
  • NPI 1710402359
  Medicare reassignment Care Compare group
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Farmington, ME
  • NPI 1346130713
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Sturbridge, MA
  • NPI 1386526192
  NPD
• Convenientmd LLC

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1881401552
  NPD
• S. Brent Brotzman, MD PA

  • Pediatric Orthopaedic Surgery Physician
  • Austin, TX
  • NPI 1215146931
  NPD (past)
• Texas Orthopedics Sports & Rehabilitation Associates PA

  • Orthopaedic Surgery Physician
  • Austin, TX
  • NPI 1346244688
  NPD (past)
• Convenientmd LLC

  • Urgent Care Clinic/Center
  • Windham, NH
  • NPI 1528330180
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1477513315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "SUITE K200",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-329-6644",
            "fax_number": "512-891-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "SUITE K200",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-329-6644",
            "fax_number": "512-891-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "KYLE",
        "middle_name": "CHRISTOPHER",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8Y3197",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Petrofes
• Petweig Medical Az PLLC
• Daniel Philbrick
• Holly K Phillip, D.D.S.
• Janet Phillips
• Ashley E Philpo
• Amy Elizabeth Pierce, LMSW
• Maria Leticia Pinkard, LPC
• Richard J. Pitts, PSY.D.
• Candice Pogge, BCBA

• Physician Assistant in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.

Verify at the official NPI Registry.