Individual provider Active NPI

Yermesha Kyle, D.P.M.

  • Podiatrist
  • Houston, TX
National Provider Identifier
1649681537
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2269 Issued in TX
Practice address
1315 St Joseph Pkwy Ste 301
Houston, TX 77002
Phone
(346) 204-5528
NPI assigned
May 13, 2014
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2269 TX Primary

Addresses

Primary practice location

1315 St Joseph Pkwy Ste 301
Houston, TX 77002

Mailing address

1315 St Joseph Pkwy Ste 301
Houston, TX 77002-8229
Phone (346) 204-5528

Other identifiers 1

IdentifierTypeStateIssuer
374359301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170809000068 TX Practitioner - Podiatry 5890084925 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MBV PLLCGroup PAC ID 2860636446, 18 clinicians

Practice addresses (Care Compare)

9191 Pinecroft Dr
Suite 100
Shenandoah, TX 77380-2797
Phone (281) 909-7722

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue838
Removal or shaving of skin growth99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MBV PLLC Podiatrist CurrentSince Oct 11, 2025 Accepting new patients
Back Office Management Services LLC Podiatrist CurrentSince Oct 26, 2021 Accepting new patients
Back Office Management Services LLC Podiatrist CurrentSince Oct 26, 2021 Accepting new patients
MBV PLLC Podiatrist CurrentSince Oct 11, 2025 Accepting new patients
Healthdrive Podiatry Group, PA Podiatrist CurrentSince Feb 25, 2024 Accepting new patients
On Site Counseling,Inc. CurrentSince Aug 1, 2018 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232

4201 Stonegate Blvd
Ft Worth, TX 76109
Phone (817) 924-5440

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

640 Interstate 45 S
Huntsville, TX 77340
Phone (936) 228-3992

434 Paza Dr
Mesquite, TX 75149
Phone (972) 286-6489

9191 Pinecroft Dr
Ste 100
Shenandoah, TX 77380

9191 Pinecroft Dr
Ste 130
Shenandoah, TX 77380

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

Organizations & group practices 7

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1649681537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028229",
            "telephone_number": "346-204-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77002",
            "telephone_number": "346-204-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYLE",
        "first_name": "YERMESHA",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374359301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.