Individual provider Active NPI

Kyle R Deboy, DO, MPH

  • Family Medicine Physician
  • Gowanda, NY
National Provider Identifier
1639833924
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
342195 Issued in NY
Practice address
1 School St
Gowanda, NY 14070-1133
Phone
(716) 241-7067
NPI assigned
Oct 24, 2021
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 342195 NY Primary

Addresses

Primary practice location

1 School St
Gowanda, NY 14070-1133

Mailing address

1 School St
Gowanda, NY 14070-1133
Phone (716) 241-7067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
342195NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Chautauqua Center, Inc PastSince Aug 1, 2026 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1639833924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST",
            "city": "GOWANDA",
            "state": "NY",
            "postal_code": "140701133",
            "telephone_number": "716-241-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST",
            "city": "GOWANDA",
            "state": "NY",
            "postal_code": "140701133",
            "telephone_number": "716-241-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOY",
        "first_name": "KYLE",
        "middle_name": "R",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-24",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "342195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gowanda, NY

Sources for this page

Verify at the official NPI Registry.