NPIMap

Individual provider Active NPI

Kyle David Toti, D.O.

  • Family Medicine Physician
  • Cedar Hill, MO
National Provider Identifier
1669735791
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2105011455 Issued in MO
Practice address
6420 The Cedars CT
Cedar Hill, MO 63016-2222
Phone
(636) 274-2700
Fax
(636) 529-0699
NPI assigned
Jun 22, 2012
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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 2105011455 MO Primary

Addresses

Primary practice location

6420 The Cedars CT
Cedar Hill, MO 63016-2222

Mailing address

6420 The Cedars CT
Cedar Hill, MO 63016-2222
Phone (636) 274-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701001396 MO Practitioner - Family Practice 2163734328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Cedar Hill LLCGroup PAC ID 9436413549, 7 clinicians

Practice addresses (Care Compare)

6420 The Cedars CT
Suite 1
Cedar Hill, MO 63016-2222
Phone (636) 274-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2105011455MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Cedar Hill LLC Family Medicine CurrentSince May 1, 2018 Accepting new patients
Forrest Opco LLC Past Accepting new patients
Cedars Court Healthcare LLC Past Accepting new patients
Festus Mo Opco LLC Past Accepting new patients

Locations

6420 The Cedars Ct
Cedar Hill, MO 63016
Phone (636) 274-2700

6420 The Cedars Ct
Ste 1
Cedar Hill, MO 63016
Phone (636) 274-2700

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 6

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1669735791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 THE CEDARS CT",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162222",
            "telephone_number": "636-274-2700",
            "fax_number": "636-529-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 THE CEDARS CT",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162222",
            "telephone_number": "636-274-2700",
            "fax_number": "636-529-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTI",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2105011455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, MO

Sources for this page

Verify at the official NPI Registry.