Individual provider Active NPI

Kyle Jordan Strycker, M.D.

  • Anesthesiology Physician
  • South Bend, IN
National Provider Identifier
1700029782
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01072751A Issued in IN
Practice address
416 E Monroe St
South Bend, IN 46601-2371
Phone
(574) 232-8119
Fax
(574) 288-0235
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01072751A IN Primary

Addresses

Primary practice location

416 E Monroe St
South Bend, IN 46601-2371

Mailing address

416 E Monroe St
South Bend, IN 46601-2371
Phone (574) 232-8119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230614002622 CO Practitioner - Anesthesiology 1557507746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Anesthesia PLLCGroup PAC ID 5799106019, 3 clinicians
National Jewish HealthGroup PAC ID 4587577028, 244 clinicians

Practice addresses (Care Compare)

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (720) 225-1000

1400 Jackson St
Denver, CO 80206-2761
Phone (303) 398-1355

1400 Jackson St
Denver, CO 80206-2762

3118 Newton St
Denver, CO 80211-3644
Phone (720) 856-0620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
69.37
Promoting interoperability
100
Improvement activities
40
Cost
65.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072751AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Anesthesia PLLC Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
National Jewish Health CurrentSince Dec 10, 2023 Accepting new patients

Locations

4380 S Syracuse St
Ste 120
Denver, CO 80237
Phone (303) 220-0810

1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1700029782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 E MONROE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012371",
            "telephone_number": "574-232-8119",
            "fax_number": "574-288-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E MONROE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012371",
            "telephone_number": "574-232-8119",
            "fax_number": "574-288-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYCKER",
        "first_name": "KYLE",
        "middle_name": "JORDAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01072751A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.