Individual provider Active NPI

Kyle Richard Reilly, MD, MPH

  • Surgery Physician
  • Barberton, OH
National Provider Identifier
1639673973
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.147699 Issued in OH
Practice address
201 5TH St NE Ste 10
Barberton, OH 44203-3017
Phone
(330) 753-1001
NPI assigned
Mar 21, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 35.147699 OH Primary

Addresses

Primary practice location

201 5TH St NE Ste 10
Barberton, OH 44203-3017

Mailing address

201 5TH St NE Ste 10
Barberton, OH 44203-3017
Phone (330) 753-1001

Other practice location 1

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3648

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816000713 OH Practitioner - General Surgery 7416319934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332

195 Wadsworth Rd
Wadsworth, OH 44281-9504
Phone (330) 374-1255

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux11
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Single Specialty CurrentSince Jul 31, 2023 Accepting new patients
Summa Physicians LLC CurrentSince Jul 31, 2023 Accepting new patients
Summa Physicians LLC Single Specialty Current Accepting new patients
Summa Physicians LLC Single Specialty Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

201 5th St NE
Ste 10
Barberton, OH 44203
Phone (216) 753-1001

3780 Medina Rd
Ste 220
Medina, OH 44256
Phone (330) 723-6060

195 Wadsworth Rd
Ste 301
Wadsworth, OH 44281
Phone (330) 331-1810

Organizations & group practices 4

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 3

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1639673973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE STE 10",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-753-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE STE 10",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-753-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041619",
            "country_code": "US",
            "telephone_number": "330-375-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REILLY",
        "first_name": "KYLE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.147699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.