Kyle McIntosh, D.O.
Individual provider Active NPI Family Medicine Physician · Patrick Afb, FL
NPI 1609216050 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1609216050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 1225 (NE)
- Practice address
- 1381 S Patrick Dr
Patrick Afb, FL 32925-3606 - Phone
- (321) 494-8989
- NPI assigned
- Jun 30, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150406002083 | NV | Order and Referring Only - General Practice |
5597083469 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1225 | NE | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1225 | NE | Yes |
Addresses
Primary practice location
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Mailing address
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone (321) 494-8989
Other practice location 1
4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-3040
Other providers in Patrick Afb, FL
- Rhonda Mangione
- Naquita Jackson Manning
- Lisa R Martin
- Gabriela Martinez
- Kevin S McCaughin
- Lakisha C Miller
- Lashawnda Mobley
- Eleni B Mohr
- Eugene Selso Montano
- Kevin J Murphy
All providers in Patrick Afb, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.