DR. KYLE PETER MICHELSON (MD) – Urology Physician, NPI 1073147468

DR. KYLE PETER MICHELSON (MD) is a healthcare provider. based in Tampa, Florida. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. A199841 (CA). The NPI Number for DR. KYLE PETER MICHELSON (MD) is 1073147468

Main info

Male
Accepts Medicare Assignment
Name
DR. KYLE PETER MICHELSON (MD)
NPI
1073147468
Phone
(813) 974-2201
Address
17 Davis Blvd
Enumeration Date
25 February 2020
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144566054
Graduation Year
null (2026 years ago)
PAC ID
0143733659
Group Practice PAC ID
6901799238
Professional Enrollment ID
I20250627003460
Address ID
CA928683201OR101XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

897 UROLOGY in FL

Provider Addresses for DR. KYLE PETER MICHELSON (MD)

  • 17 Davis Blvd

    Tampa, FL 336063475

    Phone: (813) 974-2201

    Type: Location

  • 17 DAVIS BLVD

    TAMPA, FL 336063475

    Phone: (813) 974-2201

    Type: Location

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-7005

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $3,273.

Total Amount is formed as General ($3,273) + Research ($0) + Ownership ($0) = $3,273.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: COLOPLAST CORP ($2,133).

Total Amount

$3,273

General + Research + Ownership

Payments

37

Total payment records

General Amount

$3,273

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2025-06-27

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
I20250627003460IUrologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33606)

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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: 6901799238View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerMN
U R O L O G YCA
Physician AssistantCA
U R O L O G YCA
U R O L O G YCA
U R O L O G YMD
Nurse PractitionerCA
U R O L O G YCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the registry number for DR. KYLE PETER MICHELSON (MD)?
The registry entry for DR. KYLE PETER MICHELSON (MD) shows NPI 1073147468.
Quick check: is DR. KYLE PETER MICHELSON (MD) active?
Public NPPES data shows DR. KYLE PETER MICHELSON (MD) with an active NPI status right now.
How should patients interpret DR. KYLE PETER MICHELSON (MD)'s specialty?
The extract shows Urology Physician for DR. KYLE PETER MICHELSON (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. KYLE PETER MICHELSON (MD) in Tampa, Florida?
For routing, start with Tampa, Florida for DR. KYLE PETER MICHELSON (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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