Individual provider Active NPI

Kyle Allen, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1760993513
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117146 Issued in FL
Practice address
1475 NW 12TH Ave
Miami, FL 33136-1002
Phone
(305) 243-5302
Fax
(305) 243-0424
NPI assigned
Oct 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117146 FL Primary

Addresses

Primary practice location

1475 NW 12TH Ave
Miami, FL 33136-1002

Mailing address

1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 243-5302

Other practice location 1

5555 Ponce De Leon Blvd
Coral Gables, FL 33146-2513
Phone (305) 689-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180327001628 NY Practitioner - Physician Assistant 1557623873 Reassigns benefits to 1 organization
I20230802002340 FL Practitioner - Physician Assistant 1557623873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1601 NW 12TH Ave
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FL
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FLR
Miami, FL 33136-1005

1601 NW 12TH Ave Room
2060 MCCD
Miami, FL 33136-1005
Phone (305) 585-5635

1601 NW 12TH Avenue 5065 /
5TH Mailman Center for Child Development
Miami, FL 33136-1005
Phone (305) 243-6251

1611 NW 12 Ave
Miami, FL 33136-1005

1611 NW 12 TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000

1611 NW 12TH
3B Jackson Memorial Hospital Acc West
Miami, FL 33136-1005
Phone (305) 585-7476

1611 NW 12TH Ave 2ND FL
Miami, FL 33136-1005

1611 NW 12TH Ave 2ND FLR
Miami, FL 33136-1005

1611 NW 12TH Ave 5TH Floor
Acc Clinic West JMH
Miami, FL 33136-1005
Phone (305) 243-4211

1611 NW 12TH Ave Acc E
Miami, FL 33136-1005

1611 NW 12TH Ave Acc E 2ND FLR
Miami, FL 33136-1005

1611 NW 12TH Ave Acc W
Miami, FL 33136-1005

1611 NW 12TH Ave Acc West
Miami, FL 33136-1005

1611 NW 12TH Ave Central
Miami, FL 33136-1005

1611 NW 12TH Ave DTC 1St FLR
JMH
Miami, FL 33136-1005
Phone (305) 585-6970

1611 NW 12TH Ave E
6006 Holtz Children'S Hospital
Miami, FL 33136-1005
Phone (904) 697-3945

1611 NW 12TH Ave FL
3 Acc W. Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000

1611 NW 12TH Ave JMH
Miami, FL 33136-1005

1611 NW 12TH Ave JMH 5TH FL
Acc West
Miami, FL 33136-1005
Phone (305) 689-7303

1611 NW 12TH Ave N Wing
Miami, FL 33136-1005

1611 NW 12TH Ave-Nicu
JMH Holtz Children'S Hospital
Miami, FL 33136-1005
Phone (305) 547-1496

2111 Sole Mia Way
Uhealth Sol Mia
North Miami, FL 33181-2492
Phone (786) 392-7653

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021529NYMDSports Physical Therapist
PA9117146FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Feb 1, 2018 Accepting new patients
University of Miami CurrentSince Jul 1, 2023 Accepting new patients
University of Miami CurrentSince Jul 1, 2023 Accepting new patients
Weill Medical College of Cornell CurrentSince Feb 1, 2018 Accepting new patients
University of Miami Past Accepting new patients
University of Miami Past Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
University of Miami Past Accepting new patients

Locations

5555 Ponce de Leon Blvd
Fl 4
Coral Gables, FL 33146
Phone (305) 243-3389

5555 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 585-1052

8170 Royal Palm Blvd
Coral Springs, FL 33065
Phone (954) 755-1904

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

3850 Hollywood Blvd
Hollywood, FL 33021
Phone (954) 251-8873

1321 NW 14th St
Miami, FL 33125
Phone (305) 689-5464

8333 NW 53rd St
Ste 104
Miami, FL 33166

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1475 NW 12th Ave
Fl 3
Miami, FL 33136
Phone (305) 243-2363

2801 NE 213th St
Ste 1101
Miami, FL 33180
Phone (305) 547-1496

1400 NW 12th Ave
Ste 3039
Miami, FL 33136

520 E 70th St
Ste 341
New York, NY 10021
Phone (212) 746-2087

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#M
New York, NY 10065
Phone (212) 746-2850

520 E 70th St
#341
New York, NY 10021
Phone (212) 746-7576

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kallen126721@direct.med.miami.edu

Organizations & group practices 10

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 2

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1760993513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5302",
            "fax_number": "305-243-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5302",
            "fax_number": "305-243-0424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 Ponce De Leon Blvd",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331462513",
            "country_code": "US",
            "telephone_number": "305-689-0809",
            "fax_number": "305-243-0424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.