Kyle Resendes, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101262575 Issued in VA

Practice address

600 Gresham Dr
Raleigh Building, Room 304
Norfolk, VA 23507-1904

Phone

(757) 388-3397

Fax

(757) 388-2885

NPI assigned

Sep 5, 2014

Last updated

Jun 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, VA

  Medicare reassignment NPD
• Eastern Virginia Medical School

  • Student in an Organized Health Care Education/Training Program
  • Norfolk, VA
  • NPI 1598184848
  NPD (past)

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1649671926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 FITZHUGH AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262407",
            "telephone_number": "434-851-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "address_2": "RALEIGH BUILDING, ROOM 304",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-3397",
            "fax_number": "757-388-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESENDES",
        "first_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-05",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0116026941",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101262575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faustino Andrada Reniva Jr., MD
• James Michael Renner, PHARM.D.
• Diedre Ann Renstrom, NNP
• Alissa Leticia Rentas
• Lindsey Reprogle, PHYSICIAN ASSISTANT
• Residential Living Options LLC
• Resiliency Mental Health Services LLC
• Resilient Roots Psychotherapy, LLC
• Resplendent Home Care LLC
• Resplendent Home Care LLC

• Emergency Medicine Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.