Individual provider Active NPI

Kyle Lamont Allan, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Austin, TX
National Provider Identifier
1558855262
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
5101024167 Issued in MI
Practice address
10815 Ranch Road 2222 BLDG 3B
Austin, TX 78730-1159
Phone
(512) 614-3300
Fax
(512) 372-1665
NPI assigned
Jun 15, 2018
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101024167 MI Primary
General Practice Physician 208D00000X 5101025191 MI

Addresses

Primary practice location

10815 Ranch Road 2222 BLDG 3B
Austin, TX 78730-1159

Mailing address

10815 Ranch Road 2222 BLDG 3B
Austin, TX 78730-1159
Phone (512) 614-3300

Other practice location 1

4660 S Hagadorn Rd
East Lansing, MI 48823-5376
Phone (517) 432-6144

Other practice location 2

1150 E Sherman Blvd Ste 2400
Muskegon, MI 49444-1886
Phone (231) 672-6336

Other identifiers 1

IdentifierTypeStateIssuer
743010975OtherTXCENTER FOR HEALING AND REGENERATIVE MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230201002927 TX Practitioner - Osteopathic Manipulative Medicine 7517397771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Alabama College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Keith Harris MD, PLLCGroup PAC ID 5890756761, 4 clinicians

Practice addresses (Care Compare)

10815 RR
2222 BLDG 3B
Austin, TX 78730-1159
Phone (512) 614-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101024167MIMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tecs Texas PC Single Specialty Current Accepting new patients
David Keith Harris MD, PLLC Single Specialty CurrentSince Nov 1, 2022 Accepting new patients

Locations

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

10815 Ranch Road 2222
Bldg 3B-200
Austin, TX 78730
Phone (512) 614-3300

Interoperability endpoints

  • Direct secure messaging: kyle.allan.1@7984.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1558855262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 RANCH ROAD 2222 BLDG 3B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301159",
            "telephone_number": "512-614-3300",
            "fax_number": "512-372-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 RANCH ROAD 2222 BLDG 3B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787301159",
            "telephone_number": "512-614-3300",
            "fax_number": "512-372-1665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 S Hagadorn Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488235376",
            "country_code": "US",
            "telephone_number": "517-432-6144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 E Sherman Blvd Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441886",
            "country_code": "US",
            "telephone_number": "231-672-6336",
            "fax_number": "231-672-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLAN",
        "first_name": "KYLE",
        "middle_name": "LAMONT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101024167",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101025191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTER FOR HEALING AND REGENERATIVE MEDICINE",
            "identifier": "743010975",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.