Individual provider Active NPI

Kyle Vanstone, M.D.

  • Emergency Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1558501882
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036149539 Issued in IL
Practice address
270-75 76TH Avenue
New Hyde Park, NY 11040
Phone
(718) 470-7873
NPI assigned
Feb 26, 2009
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 251951 NY
Emergency Medicine Physician 207P00000X 2014002143 MO
Emergency Medicine Physician 207P00000X A123649 CA
Emergency Medicine Physician 207P00000X 036149539 IL Primary
Internal Medicine Physician 207R00000X 2014002143 MO
Hospitalist Physician 208M00000X 2014002143 MO
Hospitalist Physician 208M00000X 01082454A IN

Addresses

Primary practice location

270-75 76TH Avenue
New Hyde Park, NY 11040

Mailing address

13952 Mercado Dr
Del Mar, CA 92014-3124
Phone (802) 734-8033

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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
I20161222001436 CA Practitioner - Emergency MedicinePractitioner - Hospitalist 6406986496 Reassigns benefits to 6 organizations
I20220310001069 NV Practitioner - Emergency MedicinePractitioner - Hospitalist 6406986496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospitalist
Education
University of Vermont College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians
Team Physicians of Northern California Medical Group IncGroup PAC ID 7113215146, 84 clinicians

Practice addresses (Care Compare)

1141 Rose Ave
Selma, CA 93662-3241
Phone (559) 891-1000

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 465-0711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123649CAMDEmergency Medicine Physician
251951NYMDEmergency Medicine Physician
01082454AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menalam Health Services PC CurrentSince Aug 1, 2021 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Menalam Health Services PC Hospitalist CurrentSince Aug 1, 2021 Accepting new patients
Regents Univ of California UCSF Internal Medicine CurrentSince Mar 25, 2021 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Nov 7, 2017 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine Current Accepting new patients
Pacific Emergency Providers, a Prof. Corp. Emergency Medicine CurrentSince Nov 15, 2016 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Nov 7, 2017 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Emergency Medicine Physicians of Tulsa County, LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Albany County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of New Haven County,LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Fayette County LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Cortland County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Fairfield County, LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Mercer County, LTD. Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Lawrence County LTD Emergency Medicine Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

4077 5th Ave
#M
San Diego, CA 92103
Phone (619) 260-7000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

4980 W Sahara Ave
Ste 100
Las Vegas, NV 89146
Phone (702) 216-7365

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

Hospital & facility affiliations 7

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1558501882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13952 MERCADO DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143124",
            "telephone_number": "802-734-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270-75 76TH AVENUE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSTONE",
        "first_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "251951",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2014002143",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A123649",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036149539",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014002143",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2014002143",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01082454A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.