Individual provider Active NPI

Kyle A Maio, PA-C

  • Physician Assistant
  • Easton, MD
National Provider Identifier
1629544879
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
500 Cadmus LN Ste 205
Easton, MD 21601
Phone
(410) 822-4553
NPI assigned
Oct 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C0007314 MD
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

500 Cadmus LN Ste 205
Easton, MD 21601

Mailing address

300 Hilltop LN Unit L
Annapolis, MD 21403-1514
Phone (443) 262-5478

Other practice location 1

300 Hilltop Ln Unit L
Annapolis, MD 21403-1514
Phone (443) 262-5478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191113000380 MD Practitioner - Physician Assistant 5799117784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Practice addresses (Care Compare)

219 S Washington St
Easton, MD 21601-2913
Phone 41082210005845

2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 822-1000

500 Cadmus LN
Easton, MD 21601-4094

Hospital & facility affiliations

  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0007314MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Community Medical Group, Inc. CurrentSince Oct 18, 2019 Accepting new patients

Locations

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

500 Cadmus Ln
Ste 205
Easton, MD 21601
Phone (410) 822-4553

219 S Washington St
Easton, MD 21601

Interoperability endpoints

  • Direct secure messaging: kmaio531779@direct.umm.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1629544879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HILLTOP LN UNIT L",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214031514",
            "telephone_number": "443-262-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CADMUS LN STE 205",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "21601",
            "telephone_number": "410-822-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hilltop Ln Unit L",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214031514",
            "country_code": "US",
            "telephone_number": "443-262-5478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIO",
        "first_name": "KYLE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "C0007314",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.