Individual provider Active NPI

Kyle Mikals, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1730504879
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME172811 Issued in FL
Practice address
7643 Gate Pkwy Ste 104-909
Jacksonville, FL 32256-3092
Phone
(904) 925-8540
Fax
(904) 901-8673
NPI assigned
Feb 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME172811 FL Primary

Addresses

Primary practice location

7643 Gate Pkwy Ste 104-909
Jacksonville, FL 32256-3092

Mailing address

7643 Gate Pkwy Ste 104-909
Jacksonville, FL 32256-3092
Phone (904) 925-8540

Other practice location 1

2080 Child St
Jacksonville, FL 32214
Phone (904) 542-7300

Other practice location 2

PSC 475 Box 1
Fpo, AP 96350-1200
Phone (315) 243-8627

Other practice location 3

5011 Gate Parkway Bldg 100
Suite 100 PMB 1063
Jacksonville, FL 32256
Phone (904) 584-4944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180214002793 DC Practitioner - Internal Medicine 3971825928 Reassigns benefits to 1 organization
I20180313002622 VA Practitioner - Internal Medicine 3971825928 Reassigns benefits to 1 organization
I20251020002425 FL Practitioner - Internal Medicine 3971825928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10113 Courtyards PL W
Jacksonville, FL 32256-7162

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Concierge Medicine LLC CurrentSince Sep 23, 2025 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2018 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

7643 Gate Pkwy
Ste 104909
Jacksonville, FL 32256
Phone (904) 925-8540

5011 Gate Pkwy
Bldg 100
Jacksonville, FL 32256
Phone (904) 512-7239

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

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 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": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1730504879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY STE 104-909",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563092",
            "telephone_number": "904-925-8540",
            "fax_number": "904-901-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY STE 104-909",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563092",
            "telephone_number": "904-925-8540",
            "fax_number": "904-901-8673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Child St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32214",
            "country_code": "US",
            "telephone_number": "904-542-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PSC 475 Box 1",
            "address_purpose": "LOCATION",
            "city": "FPO",
            "state": "AP",
            "postal_code": "963501200",
            "country_code": "US",
            "telephone_number": "315-243-8627",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "5011 Gate Parkway Bldg 100",
            "address_2": "Suite 100 PMB 1063",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32256",
            "country_code": "US",
            "telephone_number": "904-584-4944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKALS",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME172811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.