Individual provider Active NPI

Kyler Thomas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Knoxville, TN
National Provider Identifier
1699180711
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
822 Issued in TN
Practice address
116 Concord Rd Ste 300
Knoxville, TN 37934-2941
Phone
(865) 523-5655
Fax
(865) 851-9884
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 822 TN Primary

Addresses

Primary practice location

116 Concord Rd Ste 300
Knoxville, TN 37934-2941

Mailing address

9301 Park West Blvd Ste A2
Knoxville, TN 37923-4300
Phone (865) 523-5655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170705000016 TN Practitioner - Podiatry 9234408485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Sandberg Foot Health Center PCGroup PAC ID 2668369638, 6 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

116 Concord Rd
Suite 300
Knoxville, TN 37934-2941
Phone (865) 523-5655

501 19TH St
Suite 601
Knoxville, TN 37916-1852
Phone (865) 523-5655

939 Emerald Ave
Suite 706
Knoxville, TN 37917-4502
Phone (865) 523-5655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue105
Removal of skin lesions71
Removal of nail tissue952
Removal or shaving of skin growth838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sandberg Foot Health Center PC Foot & Ankle Surgery CurrentSince Jul 1, 2017 Accepting new patients
Sandberg Foot Health Center PC Foot & Ankle Surgery CurrentSince Jul 1, 2017 Accepting new patients

Locations

116 Concord Rd
Ste 300
Knoxville, TN 37934
Phone (865) 523-5655

501 19th St
Ste 601
Knoxville, TN 37916
Phone (865) 521-7662

9330 Park West Blvd
Ste 300
Knoxville, TN 37923
Phone (865) 523-5655

1928 Alcoa Hwy
Ste 200
Knoxville, TN 37920
Phone (865) 523-5655

9301 Park West Blvd
Ste A2
Knoxville, TN 37923
Phone (865) 693-5450

434 4th St
Ste 309
Newport, TN 37821
Phone (423) 623-7085

Organizations & group practices 2

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 2

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1699180711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 PARK WEST BLVD STE A2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234300",
            "telephone_number": "865-523-5655",
            "fax_number": "865-851-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CONCORD RD STE 300",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342941",
            "telephone_number": "865-523-5655",
            "fax_number": "865-851-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KYLER",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.