KYLE JAMES COOPER (M.D.) – Diagnostic Radiology Physician, NPI 1619288016

KYLE JAMES COOPER (M.D.) is a healthcare provider. based in Riverside, California. specializing in INTERVENTIONAL RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A156659 (CA). The NPI Number for KYLE JAMES COOPER (M.D.) is 1619288016

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
KYLE JAMES COOPER (M.D.)
NPI
1619288016
Phone
(951) 248-1291
Address
4334 Central Ave
Enumeration Date
30 June 2010
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9514865700
Graduation Year
2010 (16 years ago)
PAC ID
6204077621
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20181011001128
Address ID
CA925553927MO26520AVEX381
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:15State licenses:4Digital endpointsOther names

845 INTERVENTIONAL RADIOLOGY in CA

Provider Addresses for KYLE JAMES COOPER (M.D.)

  • 4334 Central Ave

    Riverside, CA 925062918

    Phone: (951) 248-1291

    Type: Location

  • FILE NUMBER 54701

    LOS ANGELES, CA 900744701

    Phone:

    Type: Mailing

  • 11234 ANDERSON ST

    LOMA LINDA, CA 92354

    Phone: (909) 558-4013

    Type: Location

  • 1500 East Medical Center Drive

    2nd floor Taubman Center Recp A

    Ann Arbor, MI 481095326

    Phone: (734) 936-5850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $81,409.

Total Amount is formed as General ($81,409) + Research ($0) + Ownership ($0) = $81,409.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Inari Medical, Inc. ($73,287).

Total Amount

$81,409

General + Research + Ownership

Payments

90

Total payment records

General Amount

$81,409

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181011001128IInterventional RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes7268$0
76937Ultrasonic guidance for blood vessel access4136$0
77001Fluoroscopic guidance for insertion or removal of central vein access device1414$0
99442Telephone medical discussion with physician, 11-20 minutes1312$0
36558Insertion of tunneled central venous tube for infusion (5 years or older)1111$0
View full utilization report →

Insurance plans in this area (ZIP 92506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153227814View full group profile
NameSpecialtyState
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Certified Registered Nurse Anesthetist (Crna)CA
Critical Care (Intensivists), General SurgeryCA
Surgical Oncology, General SurgeryIL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Is there an official ID for KYLE JAMES COOPER (M.D.) in U.S. healthcare records?
The official identifier for KYLE JAMES COOPER (M.D.) is NPI 1619288016.
Is there an active status for KYLE JAMES COOPER (M.D.)?
For scheduling context, KYLE JAMES COOPER (M.D.) is shown as active in the registry.
How would a patient describe KYLE JAMES COOPER (M.D.)'s focus?
For KYLE JAMES COOPER (M.D.), the primary taxonomy reads as Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in California is KYLE JAMES COOPER (M.D.) registered?
Use Riverside, California as the headline location for KYLE JAMES COOPER (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.