KYLE SLAZYK (PA-C, ATC, LAT) – Physician Assistant, NPI 1588017388

KYLE SLAZYK (PA-C, ATC, LAT) is a healthcare provider. based in Pembroke pines, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, ATC, LAT. They hold a License No. AL4162 (FL). The NPI Number for KYLE SLAZYK (PA-C, ATC, LAT) is 1588017388

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KYLE SLAZYK (PA-C, ATC, LAT)
NPI
1588017388
Phone
(954) 261-6741
Address
716 NW 177th Ave
Enumeration Date
16 July 2016
Last Update Date
12 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722232832
Graduation Year
2019 (7 years ago)
PAC ID
0547698128
Group Practice PAC ID
2961300611
Professional Enrollment ID
I20200313000137
Address ID
FL349944801ST3801XFLOO601
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for KYLE SLAZYK (PA-C, ATC, LAT)

  • 716 NW 177th Ave

    Pembroke Pines, FL 330293152

    Phone: (954) 261-6741

    Type: Location

  • 2155 SW AUGUSTA TRCE

    PALM CITY, FL 349904786

    Phone: (954) 261-6741

    Type: Mailing

  • Northwest Federal Highway, Jensen Beach, Martin County, Florida, 34957-3552, United States

    JENSEN BEACH, FL 349574403

    Phone: (866) 296-0942

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-03-13

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
I20200313000137IPhysician AssistantFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes182171$0
99203New patient office or other outpatient visit, 30-44 minutes130130$0
99214Established patient office or other outpatient visit, 30-39 minutes3029$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
81003Automated urinalysis test2929$0
View full utilization report →

Insurance plans in this area (ZIP 33029)

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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: 2961300611View full group profile
NameSpecialtyState
Internal MedicineGA
Orthopedic SurgeryFL
Internal MedicineAZ
Orthopedic SurgeryME
Physician AssistantFL
Internal MedicineFL
Nurse PractitionerFL
Radiation OncologyFL
Pulmonary Disease, Critical Care (Intensivists)WV
N E U R O L O G YFL

Reviews

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Frequently asked questions

What is the standard ID for KYLE SLAZYK (PA-C, ATC, LAT) in the U.S.?
In the U.S., KYLE SLAZYK (PA-C, ATC, LAT) is identified by NPI 1588017388.
Quick check: is KYLE SLAZYK (PA-C, ATC, LAT) active?
Public NPPES data shows KYLE SLAZYK (PA-C, ATC, LAT) with an active NPI status right now.
Which specialty label fits KYLE SLAZYK (PA-C, ATC, LAT)?
NPPES ties KYLE SLAZYK (PA-C, ATC, LAT) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KYLE SLAZYK (PA-C, ATC, LAT) in Pembroke Pines, Florida?
For routing, start with Pembroke Pines, Florida for KYLE SLAZYK (PA-C, ATC, LAT), 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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