Individual provider Active NPI

Kyle Robert Wire, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Youngstown, OH
National Provider Identifier
1629261847
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003521 Issued in OH
Practice address
7558 Sugartree Dr
Youngstown, OH 44512-5430
Phone
(216) 533-2402
NPI assigned
Aug 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003521 OH Primary

Addresses

Primary practice location

7558 Sugartree Dr
Youngstown, OH 44512-5430

Mailing address

7558 Sugartree Dr
Youngstown, OH 44512-5430
Phone (216) 533-2402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000465 OH Practitioner - Podiatry 5092971572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

740 Commerce Dr
Suite a
Perrysburg, OH 43551-5276
Phone 24852821166

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
58.53
Promoting interoperability
100
Improvement activities
40
Cost
86.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1301
Removal or shaving of skin growth72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical, Inc. CurrentSince Jan 31, 2023 Accepting new patients
Mobile Medical Inc CurrentSince Jan 31, 2023 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

Organizations & group practices 3

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1629261847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7558 SUGARTREE DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125430",
            "telephone_number": "216-533-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7558 SUGARTREE DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125430",
            "telephone_number": "216-533-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRE",
        "first_name": "KYLE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.