Individual provider Active NPI

Kyle A Herron, MD

  • Surgery Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1679766943
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME142276 Issued in FL
Practice address
4215 Burns Rd Ste 260
Palm Beach Gardens, FL 33410-4627
Phone
(800) 991-6117
NPI assigned
Aug 21, 2007
Last updated
Feb 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME142276 FL Primary
Phlebology Physician 202K00000X ME142276 FL

Addresses

Primary practice location

4215 Burns Rd Ste 260
Palm Beach Gardens, FL 33410-4627

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, 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
I20160831002968 GA Practitioner - Hand Surgery 3779766274 Reassigns benefits to 2 organizations
I20200609001724 FL Practitioner - General Surgery 3779766274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wazni PLLCGroup PAC ID 2860629466, 30 clinicians

Practice addresses (Care Compare)

2290 10TH Ave N
Suite 101
Lake Worth, FL 33461-6609
Phone (800) 991-6117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME142276FLMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wazni, PLLC Surgery CurrentSince Oct 1, 2024 Accepting new patients
Atlantic Podiatry Associates DPM PA Surgery CurrentSince May 28, 2020 Accepting new patients
Upperline Healthcare, PC CurrentSince Feb 15, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Feb 15, 2021 Accepting new patients
Georgia Uvc Medical LLC Phlebology CurrentSince Mar 18, 2026 Accepting new patients
Franklin Clinic LP Current Accepting new patients
Georgia Medical United LLC CurrentSince Mar 18, 2026 Accepting new patients
Franklin Urgent Care Center LP Current Accepting new patients
Colorado Medical Group, PLLC Surgery PastSince Feb 23, 2025 Accepting new patients

Locations

1900 Glades Rd
Ste 100
Boca Raton, FL 33431
Phone (561) 416-1145

1890 Lpga Blvd
Ste 230
Daytona Beach, FL 32117
Phone (386) 274-3336

1890 Lpga Blvd
Ste 255
Daytona Beach, FL 32117
Phone (386) 274-3336

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

2290 10th Ave N
Ste 101
Lake Worth, FL 33461
Phone (561) 450-2703

3003 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 687-8990

4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918

975 Town Center Dr
Ste 200
Orange City, FL 32763
Phone (386) 465-4104

595 W Granada Blvd
Ste F
Ormond Beach, FL 32174
Phone (386) 673-2266

4215 Burns Rd
Ste 260
Palm Beach Gardens, FL 33410

11 Florida Park Dr N
Palm Coast, FL 32137
Phone (386) 251-5509

21 Hospital Dr
Ste 170
Palm Coast, FL 32164
Phone (386) 586-2280

21 Hospital Dr
Ste 170A
Palm Coast, FL 32164
Phone (386) 586-7373

790 Dunlawton Ave
Ste C
Port Orange, FL 32127
Phone (386) 788-6333

295 NW Peacock Blvd
Port St Lucie, FL 34986

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

3657 Madaca Ln
Tampa, FL 33618

3810 Northdale Blvd
Ste 260
Tampa, FL 33624

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

371 E Paces Ferry Rd NE
Ste 630
Atlanta, GA 30305

3805 Crestwood Pkwy NW
Ste 350
Duluth, GA 30096

354 Newnan Crossing Byp
Ste 210
Newnan, GA 30265

102 Woodmont Blvd
Ste 450
Nashville, TN 37205

723 Hill Country Dr
Ste C
Kerrville, TX 78028
Phone (830) 792-5800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHBIAD
  • Direct secure messaging: kyle.herron@uvvc.eclinicaldirectplus.com

Organizations & group practices 10

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1679766943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BURNS RD STE 260",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104627",
            "telephone_number": "800-991-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "KYLE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME142276",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME142276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.