Individual provider Active NPI

Kyle Joseph Moyles, M.D.

  • Orthopaedic Hand Surgery Physician
  • Melbourne, FL
National Provider Identifier
1679766133
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
ME113873 Issued in FL
Practice address
1310 W Eau Gallie Blvd
Suite E
Melbourne, FL 32935-5300
Phone
(321) 500-4263
Fax
(888) 782-9622
NPI assigned
Aug 19, 2007
Last updated
Mar 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME113873 FL
Orthopaedic Hand Surgery Physician 207XS0106X ME113873 FL Primary

Addresses

Primary practice location

1310 W Eau Gallie Blvd
Suite E
Melbourne, FL 32935-5300

Mailing address

1310 W Eau Gallie Blvd
Suite E
Melbourne, FL 32935-5300
Phone (321) 500-4263

Other practice location 1

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other practice location 2

1350 Hickory St Ste 101
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other identifiers 8

IdentifierTypeStateIssuer
1779268OtherFLCIGNA
LB406OtherFLFL HFMG MEDICARE
3469293OtherFLUNITED HEALTHCARE
LE632OtherFLFL HFMG
14QH3OtherFLFLORIDA BLUE PROVIDER ID
2514077OtherFLCOVENTRY
019539100MedicaidFL
9434935OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130808000764 FL Practitioner - Orthopedic Surgery 6406003151 Reassigns benefits to 1 organization
I20150115002065 FL Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 6406003151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blackstone Hand Center, LLCGroup PAC ID 8820312176, 4 clinicians

Practice addresses (Care Compare)

2010 W Eau Gallie Blvd
Unit 104
Melbourne, FL 32935-4033
Phone (321) 500-4263

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision14
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME113873FLMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Mar 31, 2014 Accepting new patients
Blackstone Hand Center, LLC Hand Surgery CurrentSince Oct 2, 2014 Accepting new patients
Health First Medical Group, LLC Orthopaedic Surgery CurrentSince Mar 31, 2014 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 404
Cocoa Beach, FL 32931
Phone (321) 868-2778

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1310 W Eau Gallie Blvd
Ste E
Melbourne, FL 32935
Phone (321) 255-3338

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

1350 Hickory St
Ste 101
Melbourne, FL 32901
Phone (321) 434-1401

2010 W Eau Gallie Blvd
Unit 101
Melbourne, FL 32935
Phone (321) 608-3838

2010 W Eau Gallie Blvd
Unit 104
Melbourne, FL 32935
Phone (305) 609-7688

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kmoyles71375@epicdirect.hf.org

Organizations & group practices 3

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 5

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": "1187481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1679766133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W EAU GALLIE BLVD",
            "address_2": "SUITE E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355300",
            "telephone_number": "321-500-4263",
            "fax_number": "888-782-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W EAU GALLIE BLVD",
            "address_2": "SUITE E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355300",
            "telephone_number": "321-500-4263",
            "fax_number": "888-782-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "fax_number": "321-434-1667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "fax_number": "321-434-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYLES",
        "first_name": "KYLE",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-19",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME113873",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME113873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1779268",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HFMG MEDICARE",
            "identifier": "LB406",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3469293",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HFMG",
            "identifier": "LE632",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE PROVIDER ID",
            "identifier": "14QH3",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "2514077",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019539100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9434935",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.