Kyle Altman, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS19480 Issued in FL

Practice address

11375 Cortez Blvd
Brooksville, FL 34613-5409

Phone

(912) 687-6804

NPI assigned

Apr 7, 2020

Sex

Male

Sole proprietor

Yes

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.

• Sound Physicians Emergency Medicine of South Carolina LLC

  • Emergency Medicine Physician
  • Aiken, SC
  • NPI 1730636168

  Emergency Medicine, SC

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aiken Regional Medical Centers LLC

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1447437157

  Hospital

  Care Compare affiliation
• Aiken Regional Medical Centers LLC

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1467448498

  Hospital

  Care Compare affiliation
• Aiken Regional Medical Centers, LLC.

  • Neurological Surgery Physician
  • Aiken, SC
  • NPI 1942610928

  Hospital

  Care Compare affiliation

Specialty

Emergency Medicine

Education

Vanderbilt University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sound Physicians Emergency Medicine of South Carolina LLC 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

Medicare fee-for-service enrollment

Enrolled in SC

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2023.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1982233201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 BELMONT RDG",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432402",
            "telephone_number": "912-687-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11375 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135409",
            "telephone_number": "912-687-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN",
        "first_name": "KYLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS19480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allied Health Florida Inc.
• Adam Jona Almany, MD
• Abigail Taylor Alorda, MD
• Eyad Alsabbagh, MD
• Ayham Alshaar, M.D.
• Always There Family Practice LLC
• Daniela Amador Diaz, RBT
• Rafael Esteban Amador Gonzalez, MD
• Shahida Amar, PHARM.D,
• Lingappa Amarchand, M.D.

• All providers in Brooksville, FL
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.