Individual provider Active NPI

Kyle D. Loy, M.D. P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Lafayette, IN
National Provider Identifier
1528040045
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
01026301A Issued in IN
Practice address
2606 Veterans Memorial Pkwy S
Suite 1
Lafayette, IN 47909-9192
Phone
(765) 474-4500
Fax
(765) 474-1122
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 01026301A IN Primary

Addresses

Primary practice location

2606 Veterans Memorial Pkwy S
Suite 1
Lafayette, IN 47909-9192

Mailing address

2606 Veterans Memorial Pkwy S
Suite 1
Lafayette, IN 47909-9192
Phone (765) 474-4500

Other identifiers 3

IdentifierTypeStateIssuer
100124630BMedicaidIN
000000361234OtherINANTHEM PIN
P00215064OtherINMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20191218001322 IN Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 9234179516

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knecht Audiology Inc PastSince Dec 8, 2008 Accepting new patients

Organizations & group practices 1

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1528040045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 VETERANS MEMORIAL PKWY S",
            "address_2": "SUITE 1",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099192",
            "telephone_number": "765-474-4500",
            "fax_number": "765-474-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 VETERANS MEMORIAL PKWY S",
            "address_2": "SUITE 1",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479099192",
            "telephone_number": "765-474-4500",
            "fax_number": "765-474-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOY",
        "first_name": "KYLE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D. P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IN",
            "license": "01026301A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100124630B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000361234",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00215064",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.