Individual provider Active NPI

Kyle W Winking, MD

  • Diagnostic Radiology Physician
  • Lebanon, NH
National Provider Identifier
1831576008
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20227 Issued in NH
Practice address
One Medical Center Dr
Lebanon, NH 03756-0001
Phone
(603) 650-7650
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2992 NH
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 20227 NH Primary
Diagnostic Radiology Physician 2085R0202X 042.0014655 VT

Addresses

Primary practice location

One Medical Center Dr
Lebanon, NH 03756-0001

Mailing address

One Medical Center Dr
Lebanon, NH 03756-0001
Phone (603) 650-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH, MA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200610000735 VT Practitioner - Diagnostic Radiology 0345545968 Reassigns benefits to 1 organization
I20200616003114 NH Practitioner - Diagnostic Radiology 0345545968 Reassigns benefits to 1 organization
I20210525002406 MA Practitioner - Diagnostic Radiology 0345545968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Radiology Associates LLPGroup PAC ID 0749353951, 10 clinicians

Practice addresses (Care Compare)

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2992NHMDPharmacist
20227NHMDDiagnostic Radiology Physician
042.0014655VTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
L & M Radiology, Inc. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Shields Imaging at Anna Jaques Hospital LLC CurrentSince Jun 28, 2021 Accepting new patients
Dartmouth-Hitchcock Clinic Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Northeast Radiology Associates, LLP Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Brattleboro Memorial Hospital CurrentSince Jul 14, 2020 Accepting new patients

Locations

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

10 Little Brook Rd
West Wareham, MA 02576

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

53 Fairview St
Brattleboro, VT 05301
Phone (802) 251-8455

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
  • Direct secure messaging: kwinking448913@direct.bilh.masshiway.net

Organizations & group practices 5

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 4

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1831576008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKING",
        "first_name": "KYLE",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "2992",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "20227",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042.0014655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.