Active NPI
Kyle Kjome, D.O.
- Anesthesiology Physician
- Pittsburgh, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 23919
- Practice address
- 320 E North Ave
Allegheny General Hospital
Pittsburgh, PA 15212-4756 - Phone
- (412) 359-6726
- NPI assigned
- May 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | |||
| Anesthesiology Physician | 207L00000X | 23919 | MS | Primary |
| Anesthesiology Physician | 207L00000X | 032-0133890 | VT | |
| General Practice Physician | 208D00000X | 23919 | MS | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
320 E North Ave
Allegheny General Hospital
Pittsburgh, PA 15212-4756
Mailing address
320 E North Ave
Allegheny General Hospital
Pittsburgh, PA 15212-4756
Other practice location 1
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00224574 | Medicaid | MS | |
| 435134 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032-0133890 | VT | MD | Anesthesiology Physician |
| 23919 | MS | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia State Anesthesia Services, PLLC | Anesthesiology | Current | Accepting new patients |
| Jackson County Anesthesia | Anesthesiology | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
2406 Catalpa Ave
Pascagoula, MS 39567
Phone (228) 202-1006
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.
-
- Anesthesiology Physician
- Pascagoula, MS
- NPI 1922159219
-
- Anesthesiology Physician
- Pascagoula, MS
- NPI 1962279711
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1639797913
-
- General Acute Care Hospital
- Pascagoula, MS
- NPI 1124136593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1750793535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E NORTH AVE",
"address_2": "ALLEGHENY GENERAL HOSPITAL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E NORTH AVE",
"address_2": "ALLEGHENY GENERAL HOSPITAL",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124756",
"telephone_number": "412-359-6726"
}
],
"practiceLocations": [
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KJOME",
"first_name": "KYLE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-28",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "23919",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VT",
"license": "032-0133890",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MS",
"license": "23919",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00224574",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "435134",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.