DR. KYLE P. EDMONDS M.D., FAAHPM NPI 1003044728

Family Medicine (Hospice and Palliative Medicine) in San Diego, CA

NPI 1003044728 Individual Male Years of Experience 13 Family Medicine Hospice and Palliative Medicine PECOS Enrolled Accepts Medicare Approved Payment

About KYLE EDMONDS

Kyle Edmonds is a provider established in San Diego, California and his medical specialization is family medicine (hospice and palliative medicine) with more than 13 years of experience. He graduated from University Of Arizona College Of Medicine in 2009. The NPI number of Kyle Edmonds is 1003044728 and was assigned on July 2009. The practitioner's primary taxonomy code is 207QH0002X with license number A121683 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

Kyle Edmonds is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kyle Edmonds is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Uc San Diego Health Hillcrest - Hillcrest Med Ctr.

NPI

1003044728

Provider NameDR. KYLE P. EDMONDS M.D., FAAHPM
Provider Location Address200 W ARBOR DR # 8216 SAN DIEGO, CA 92103
Provider Mailing Address136 DICKINSON ST. MC 8216 SAN DIEGO, CA 92103
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year2009
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-01-2009
Last Update Date02-28-2019


Primary Taxonomy

Taxonomy Code207QH0002X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationHospice and Palliative Medicine
License No.A121683
License StateCA
Taxonomy DescriptionA family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Business Address

DR. KYLE P. EDMONDS M.D., FAAHPM
200 W ARBOR DR # 8216
SAN DIEGO, CA
ZIP 92103
Phone: (858) 534-6091
Fax: (619) 543-3947

Get Directions


Mailing Address

DR. KYLE P. EDMONDS M.D., FAAHPM
136 DICKINSON ST.
MC 8216
SAN DIEGO, CA
ZIP 92103
Phone: (858) 534-7079
Fax: (619) 543-3947



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3072769645
PECOS Enrollment IDI20120814000548
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kyle Edmonds is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR200 WEST ARBOR DRIVE
SAN DIEGO, CA 92103
(619) 543-6222Acute Care Hospitals50025

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
A121683OTHER (01)CA

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316125198DR. HEIDI NINA YEUNG M.D.
Individual
Family Medicine (Hospice and Palliative Medicine)200 W ARBOR DR # 8216
SAN DIEGO, CA 92103
(619) 471-3316

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.