Individual provider Active NPI

Kyle Jonathan Stansifer, M.D.

  • Otolaryngology Physician
  • Omaha, NE
National Provider Identifier
1962766600
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
28736 Issued in NE
Practice address
720 N 129TH St
Omaha, NE 68154-6109
Phone
(402) 397-0670
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 28736 NE Primary

Addresses

Primary practice location

720 N 129TH St
Omaha, NE 68154-6109

Mailing address

720 N 129TH St
Omaha, NE 68154-6109
Phone (402) 397-0670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170808000187 NE Practitioner - Otolaryngology 6709157845 Reassigns benefits to 3 organizations
I20181109002745 IA Practitioner - Otolaryngology 6709157845 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Care Services IncGroup PAC ID 4284624909, shared by 10 NPIs, 51 clinicians
ENT Specialists PCGroup PAC ID 3173517539, 11 clinicians

Practice addresses (Care Compare)

430 N Monitor St
West Point, NE 68788-1595

720 N 129TH St
Omaha, NE 68154-6109
Phone (402) 397-0670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.95

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as group
Quality
90
Promoting interoperability
84
Improvement activities
40
Cost
71.97

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as group
Quality
92.17
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28736NEMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Memorial Community Hospital CurrentSince Oct 17, 2024 Accepting new patients
Franciscan Care Services Inc Current Accepting new patients
Franciscan Care Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Audubon County Memorial Hospital CurrentSince Nov 2, 2019 Accepting new patients
Franciscan Care Services Inc CurrentSince Aug 1, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Franciscan Care Services Inc Current Accepting new patients
Stewart Memorial Community Hospital Current Accepting new patients
Stewart Memorial Community Hospital CurrentSince Aug 1, 2025 Accepting new patients
Stewart Memorial Community Hospital Otolaryngology CurrentSince Oct 17, 2024 Accepting new patients
ENT Specialists PC Otolaryngology CurrentSince Aug 1, 2017 Accepting new patients

Locations

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

933 E Pierce St
Council Bluffs, IA 51503
Phone (712) 328-6000

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

720 N 129th St
Omaha, NE 68154
Phone (402) 397-0670

430 N Monitor St
West Point, NE 68788
Phone (402) 372-2404

500 E Decatur St
West Point, NE 68788
Phone (402) 372-2404

Interoperability endpoints

  • Direct secure messaging: kstansifer228061@uihcdirect.org
  • Direct secure messaging: kstansifer1072865@direct.unitypoint.org

Organizations & group practices 11

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 3

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1962766600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681546109",
            "telephone_number": "402-397-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N 129TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681546109",
            "telephone_number": "402-397-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSIFER",
        "first_name": "KYLE",
        "middle_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "28736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.