Individual provider Active NPI

Amy Elizabeth Kayl, D.O.

  • Family Medicine Physician
  • Daphne, AL
National Provider Identifier
1740623750
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1471 Issued in AL
Practice address
27961 US Highway 98 Ste 14
Daphne, AL 36526-4725
Phone
(251) 626-1175
Fax
(251) 625-1507
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO1471 AL Primary

Addresses

Primary practice location

27961 US Highway 98 Ste 14
Daphne, AL 36526-4725

Mailing address

27961 US Highway 98 Ste 14
Daphne, AL 36526-4725
Phone (251) 626-1175

Other identifiers 1

IdentifierTypeStateIssuer
78631OtherBLUE CROSS BLUE SHIELD OF ALABAMA.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160712001200 AL Practitioner - Family Practice 0840582896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Memorial University Medical Department, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Eastern Shore Family Practice LLCGroup PAC ID 7315218450, 6 clinicians

Practice addresses (Care Compare)

27961 US Hwy 98
Suite 14
Daphne, AL 36526-4725
Phone (251) 626-1175

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1471ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Eastern Shore Family Practice LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients

Locations

27961 US Highway 98
Ste 14
Daphne, AL 36526
Phone (251) 626-1175

Organizations & group practices 1

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 3

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1740623750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27961 US HIGHWAY 98 STE 14",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264725",
            "telephone_number": "251-626-1175",
            "fax_number": "251-625-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27961 US HIGHWAY 98 STE 14",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264725",
            "telephone_number": "251-626-1175",
            "fax_number": "251-625-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYL",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO1471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA.",
            "identifier": "78631",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.