NPIMap

Individual provider Active NPI

Kyle Patton McCombs, MD

  • Internal Medicine Physician
  • Granbury, TX
National Provider Identifier
1861491359
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2017-0152 Issued in NM
Practice address
1310 Paluxy Rd
Granbury, TX 76048-5655
Phone
(817) 573-2683
NPI assigned
Jul 18, 2005
Last updated
Oct 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X K5618 TX
Internal Medicine Physician 207R00000X K5618 TX
Internal Medicine Physician 207R00000X MD2017-0152 NM Primary

Addresses

Primary practice location

1310 Paluxy Rd
Granbury, TX 76048-5655

Mailing address

PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770

Other identifiers 4

IdentifierTypeStateIssuer
133674513MedicaidTX
133674508MedicaidTX
8F2515OtherTXBCBS
P00802552OtherTXRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171030000647 NM Practitioner - Internal Medicine 6406838242 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

211 Sudderth Dr
Ruidoso, NM 88345-6002
Phone (575) 630-4233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100Reported as group
Quality
80.04
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5618TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Oct 2, 2017 Accepting new patients
Four Corners Emergency Physicians PLLC CurrentSince Nov 3, 2022 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Oct 2, 2017 Accepting new patients
Curry Emergency Group LLC CurrentSince Jan 20, 2018 Accepting new patients
Western Mountain Hospital Physicians PLLC Hospitalist CurrentSince Oct 28, 2022 Accepting new patients
Michael a Rowley MD PA Past Accepting new patients
Hood Emergency Medicine Associates PA Past Accepting new patients
Presbyterian Healthcare Services Internal Medicine Past Accepting new patients
Texas Emergency Room Services, P.a. Past Accepting new patients
Cowboy Capital Emergency Physicians Past Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

Interoperability endpoints

  • Direct secure messaging: kmccombs111260@direct.phs.org
  • Direct secure messaging: kmccombs285435@ahs.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lincoln County Medical Center SNFRuidoso, NM, CCN 32Z306 Skilled nursing facility Corporate Director
Adp of the SNF		 Jan 1, 2025
Jan 28, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1861491359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-573-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMBS",
        "first_name": "KYLE",
        "middle_name": "PATTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "K5618",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5618",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2017-0152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133674513",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133674508",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8F2515",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00802552",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.