Individual provider Active NPI

Kyle Matthew Struzyk

  • Pediatric Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1487188157
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
S3464 Issued in TX
Practice address
1935 Medical District Dr
Dallas, TX 75235-7701
Phone
(210) 317-4826
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X S3464 TX
Pediatric Anesthesiology Physician 207LP3000X S3464 TX Primary

Addresses

Primary practice location

1935 Medical District Dr
Dallas, TX 75235-7701

Mailing address

106 Park LN
Boerne, TX 78015-8342
Phone (210) 317-4826

Other practice location 1

3333 Burnet Ave - ML5018
Cincinnati, OH 45229
Phone (513) 235-7950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 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
I20191121002835 TX Practitioner - AnesthesiologyPractitioner - General Practice 0446527840 Reassigns benefits to 2 organizations
I20240808003887 OH Practitioner - Pediatric Medicine 0446527840 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S3464TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc CurrentSince Aug 13, 2025 Accepting new patients
Dallas Physician Medical Services for Children Inc Anesthesiology Current Accepting new patients
Children's Hospital Medical Center Pediatric Anesthesiology CurrentSince Jul 3, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Sep 25, 2019 Accepting new patients
Complex Care Medical Services Corporation Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

3333 Burnet Ave
#5018
Cincinnati, OH 45229
Phone (513) 636-4315

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1935 Medical District Dr
Stop ST908
Dallas, TX 75235

1935 Medical District Dr
Unit A
Dallas, TX 75235

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1487188157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PARK LN",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780158342",
            "telephone_number": "210-317-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 MEDICAL DISTRICT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357701",
            "telephone_number": "210-317-4826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Ave - ML5018",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45229",
            "country_code": "US",
            "telephone_number": "513-235-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRUZYK",
        "first_name": "KYLE",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S3464",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "TX",
            "license": "S3464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.