Individual provider Active NPI

Kyle R Thomas, PA-C

  • Physician Assistant
  • Hershey, PA
National Provider Identifier
1659064350
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1150 Cocoa Ave
Hershey, PA 17033-1712
Phone
(717) 531-6015
Fax
(717) 531-0140
NPI assigned
May 30, 2023
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA Primary

Addresses

Primary practice location

1150 Cocoa Ave
Hershey, PA 17033-1712

Mailing address

500 University Dr MC Ca410
Hershey, PA 17033-2360
Phone (717) 531-5208

Other practice location 1

100 S First Street
Millersburg, PA 17061-1501
Phone (717) 692-4834

Other names 1

  • Kyle Robert Thomas Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230928002254 PA Practitioner - Physician Assistant 2365896024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1150 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 531-6015

500 Universidy Dr
Hershey, PA 17033-2360

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC Multi-Specialty CurrentSince Aug 1, 2023 Accepting new patients
The Milton S Hershey Medical Center Physician Group Multi-Specialty CurrentSince Apr 7, 2025 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Multi-Specialty Past Accepting new patients

Locations

1150 Cocoa Ave
Hershey, PA 17033
Phone (717) 531-6015

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

100 1st St
Millersburg, PA 17061
Phone (717) 692-4834

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1659064350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-5208",
            "fax_number": "717-531-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331712",
            "telephone_number": "717-531-6015",
            "fax_number": "717-531-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S FIRST STREET",
            "address_purpose": "LOCATION",
            "city": "MILLERSBURG",
            "state": "PA",
            "postal_code": "170611501",
            "country_code": "US",
            "telephone_number": "717-692-4834",
            "fax_number": "717-692-3678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KYLE",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "THOMAS",
            "middle_name": "ROBERT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.