DR. KYLE STEPHEN KIMURA (M.D.) – Otolaryngology Physician, NPI 1013361005

DR. KYLE STEPHEN KIMURA (M.D.) is a healthcare provider. based in Kansas city, Missouri. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 04-48159 (KS). The NPI Number for DR. KYLE STEPHEN KIMURA (M.D.) is 1013361005

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE STEPHEN KIMURA (M.D.)
NPI
1013361005
Phone
(816) 468-8820
Address
9411 N Oak Trfy Ste 202
Enumeration Date
16 April 2016
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8164784200
Graduation Year
2016 (10 years ago)
PAC ID
9537549530
Group Practice PAC ID
9335143759
Professional Enrollment ID
I20230920000507
Address ID
MO640641996LE4880XCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:10State licenses:4Digital endpointsOther names

320 OTOLARYNGOLOGY in MO

Provider Addresses for DR. KYLE STEPHEN KIMURA (M.D.)

  • 9411 N Oak Trfy Ste 202

    Kansas City, MO 641552262

    Phone: (816) 468-8820

    Fax: (816) 468-8898

    Type: Location

  • 2790 Clay Edwards Dr Ste 500

    North Kansas City, MO 641163243

    Phone: (816) 994-0040

    Fax: (816) 994-0044

    Type: Location

  • 4880 NE Goodview Cir

    Lees Summit, MO 640641996

    Phone: (816) 478-4200

    Fax: (816) 875-2598

    Type: Location

  • 1161, 21st Avenue South, Nashville, Davidson County, Tennessee, 37212, United States

    MEDICAL CENTER NORTH SUITE CCC-4312

    NASHVILLE, TN 372322730

    Phone: (615) 343-6642

    Type: Mailing

  • 6815 FRONTAGE RD

    MERRIAM, KS 662041398

    Phone: (913) 721-3387

    Fax: (816) 875-2598

    Type: Location

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Mailing

  • 5101 COLLEGE BLVD

    LEAWOOD, KS 662111614

    Phone: (816) 478-4200

    Fax: (816) 875-2598

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,128.

Total Amount is formed as General ($1,128) + Research ($0) + Ownership ($0) = $1,128.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($430).

Total Amount

$1,128

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

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: 2023-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230920000507IOtolaryngologyMOTBD
I20231020002757IOtolaryngologyKSTBD

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
99203New patient office or other outpatient visit, 30-44 minutes2222$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1717$0
31575Diagnostic exam of voice box using a flexible endoscope1514$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 64155)

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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: 9335143759View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMO
O T O L A R Y N G O L O G YMO
-MO
-CA
Qualified AudiologistMO
Qualified AudiologistKS
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)KS
Family Practice, Osteopathic Manipulative MedicineMO
P O D I A T R YKS

Reviews

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Frequently asked questions

How is DR. KYLE STEPHEN KIMURA (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KYLE STEPHEN KIMURA (M.D.) with NPI 1013361005.
Is DR. KYLE STEPHEN KIMURA (M.D.) still practicing?
DR. KYLE STEPHEN KIMURA (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. KYLE STEPHEN KIMURA (M.D.)?
For research purposes, treat DR. KYLE STEPHEN KIMURA (M.D.) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. KYLE STEPHEN KIMURA (M.D.) serve?
DR. KYLE STEPHEN KIMURA (M.D.)'s listing highlights Kansas City, Missouri; more addresses can appear in NPPES.
Why does DR. KYLE STEPHEN KIMURA (M.D.) have multiple addresses?
9 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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