Active NPI
Kyla Faille, MD
- Family Medicine Physician
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME141908
- Practice address
- 461 S Nova Rd
Ormond Beach, FL 32174-6138 - Phone
- (386) 671-4337
- Fax
- (386) 481-6182
- NPI assigned
- Jun 13, 2018
- Last updated
- May 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TRN27048 | FL | |
| Family Medicine Physician | 207Q00000X | ME141908 | FL | Primary |
Addresses
Primary practice location
461 S Nova Rd
Ormond Beach, FL 32174-6138
Mailing address
461 S Nova Rd
Ormond Beach, FL 32174-6138
Phone (386) 671-4337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
461 S Nova Rd
Ormond Beach, FL 32174-6138
Phone (386) 671-4337
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Family Medicine | Current | Accepting new patients |
| Florida Health Care Plan, Inc | Current | Accepting new patients | |
| Florida Health Care Plan, Inc | Current | Accepting new patients |
Locations
201 N Clyde Morris Blvd
Ste 200
Daytona Beach, FL 32114
Phone (386) 254-4165
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
461 S Nova Rd
Ormond Beach, FL 32174
Phone (386) 671-4337
775 W Granada Blvd
Ste 102
Ormond Beach, FL 32174
Phone (386) 672-4615
740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Florida Health Care Plans Inc.
- Preferred Provider Organization
- Daytona Beach, FL
- NPI 1558302042
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
dba FHCP ASC - Orange City
- Ambulatory Surgical Clinic/Center
- Orange City, FL
- NPI 1659759827
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
-
- Community Based Hospice Care Agency
- Miami Lakes, FL
- NPI 1528113792
-
- Community Based Hospice Care Agency
- Melbourne, FL
- NPI 1669548053
-
- Community Based Hospice Care Agency
- Tallahassee, FL
- NPI 1972555464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1811480809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 S NOVA RD",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746138",
"telephone_number": "386-671-4337",
"fax_number": "386-671-1127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 S NOVA RD",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321746138",
"telephone_number": "386-671-4337",
"fax_number": "386-481-6182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAILLE",
"first_name": "KYLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "TRN27048",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME141908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.