Kyle Bavitz, MD
Individual provider Active NPI Internal Medicine Physician · Omaha, NE
NPI 1861235673 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1861235673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 9996 (NE)
- Practice address
- 982055 Nebraska Medical Ctr
Omaha, NE 68198-2055 - Phone
- (402) 559-0390
- NPI assigned
- Jun 18, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240927003043 | NE | Order and Referring Only - Internal Medicine |
6901337195 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9996 | NE | Yes |
Addresses
Primary practice location
982055 Nebraska Medical Ctr
Omaha, NE 68198-2055
Mailing address
982055 Nebraska Medical Ctr
Omaha, NE 68198-2055
Phone (402) 559-0390
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All providers in Omaha, NE · Internal Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.