MR. KYLE D ROSE (DO) – Gastroenterology Physician, NPI 1073811352

MR. KYLE D ROSE (DO) is a healthcare provider. based in Omaha, Nebraska. specializing in GASTROENTEROLOGY. They hold the professional credentials DO. They hold a License No. 1650 (NE). The NPI Number for MR. KYLE D ROSE (DO) is 1073811352

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. KYLE D ROSE (DO)
NPI
1073811352
Phone
(402) 397-7057
Address
8901 INDIAN HILLS DR STE 200
Enumeration Date
10 March 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4027273795
Graduation Year
2011 (15 years ago)
PAC ID
9234409640
Group Practice PAC ID
7911258520
Professional Enrollment ID
I20170718001929
Address ID
NE680252387FR450XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

103 GASTROENTEROLOGY in NE

Provider Addresses for MR. KYLE D ROSE (DO)

  • 8901 INDIAN HILLS DR STE 200

    OMAHA, NE 681144032

    Phone: (402) 397-7057

    Type: Mailing

  • 400 N wall st

    507

    kankakee, IL 60901

    Phone: (815) 928-6274

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $1,698.

Total Amount is formed as General ($1,698) + Research ($0) + Ownership ($0) = $1,698.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($245).

Total Amount

$1,698

General + Research + Ownership

Payments

81

Total payment records

General Amount

$1,698

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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: 2017-08-18

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
I20170718001929IGastroenterologyNETBD
I20170818000508IGastroenterologyIATBD

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
J3380Injection, vedolizumab, 1 mg8,10022$0
J1745Injection, infliximab, excludes biosimilar, 10 mg1,16017$0
45380Biopsy of large bowel using a flexible endoscope151151$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare134133$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope10099$0
View full utilization report →

Insurance plans in this area (ZIP 68114)

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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: 7911258520View full group profile
NameSpecialtyState
P A T H O L O G YNE
G A S T R O E N T E R O L O G YNE
P A T H O L O G YNE
Psychiatry, Addiction MedicineCO
P S Y C H I A T R YNE
-NE
-NY
Emergency MedicineCA
G A S T R O E N T E R O L O G YNE
P A T H O L O G YNE

Reviews

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Frequently asked questions

Can I use this page to confirm MR. KYLE D ROSE (DO)'s NPI?
Yes. MR. KYLE D ROSE (DO) is listed with NPI 1073811352 in the public NPI dataset.
Can I rely on MR. KYLE D ROSE (DO) being an active provider?
As of the registry snapshot, MR. KYLE D ROSE (DO) is marked active.
What taxonomy line describes MR. KYLE D ROSE (DO)?
For research purposes, treat MR. KYLE D ROSE (DO) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MR. KYLE D ROSE (DO) based?
MR. KYLE D ROSE (DO) is tied to Omaha, Nebraska in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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