Individual provider Active NPI

Kyle William Meyer, D.O.

  • Family Medicine Physician
  • Munster, IN
National Provider Identifier
1760801880
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02008792A Issued in IN
Practice address
759 45TH St Ste 201
Munster, IN 46321-2939
Phone
(219) 933-7930
Fax
(219) 836-3295
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 02008792A IN Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 16874 CA

Addresses

Primary practice location

759 45TH St Ste 201
Munster, IN 46321-2939

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

4375 Fair Lakes Ct
Fairfax, VA 22033-4234
Phone (571) 432-2724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190307003159 CA Practitioner - Sports Medicine 0244579258 Reassigns benefits to 1 organization
I20260324002047 IN Practitioner - Family Practice 0244579258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

759 45TH St
Suite 201
Munster, IN 46321-2938
Phone (219) 836-0296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16874CAMDProfessional Counselor
02008792AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Family Health, Inc. CurrentSince Feb 1, 2019 Accepting new patients
Murrieta Express Care, Inc Past Accepting new patients

Locations

29826 Haun Rd
Ste 209
Menifee, CA 92586
Phone (951) 231-1385

24910 Las Brisas Rd
Ste 105
Murrieta, CA 92562
Phone (951) 231-1385

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/3408/brand/2/csg/1/fhir/r4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1760801880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 45TH ST STE 201",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212939",
            "telephone_number": "219-933-7930",
            "fax_number": "219-836-3295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4375 Fair Lakes Ct",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220334234",
            "country_code": "US",
            "telephone_number": "571-432-2724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KYLE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02008792A",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "16874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.