Kyle Takeshi Yamamoto, M.D.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

15693 Issued in NV

Practice address

3614 Lakeside Dr Ste 100
Reno, NV 89509-5285

Phone

(775) 525-1712

NPI assigned

Jun 5, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Kyle T. Yamamoto, MD, LTD.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Reno, NV
  • NPI 1578941563
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1568698439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 LAKESIDE DR STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095285",
            "telephone_number": "775-525-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 LAKESIDE DR STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095285",
            "telephone_number": "775-525-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "KYLE",
        "middle_name": "TAKESHI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NV",
            "license": "15693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sakshi Yadav, MD
• Maiko Yamagiwa, M.S., CCC-SLP
• Yamamoto Professional LLC
• Cheryl Yamamoto, B.S., RDH
• Dennis Yamamoto, M.D.
• Yoselin Yanas-Trujillo
• Jacqueline Yanes Caceres
• Ruifang Yang, M.D., PHD
• Shawmin Yang
• Alexis Nicole Lacap Yango

• Otolaryngology/Facial Plastic Surgery Physician in Reno, NV
• Providers in Reno, NV by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.