KYLE J VANDOMMELEN MD
NPI 1073140356
Internal Medicine - Medical Oncology in Columbus, OH

Q: What is Kyle Vandommelen's NPI number?

The NPI number for Kyle Vandommelen is 1073140356. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Kyle Vandommelen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Vandommelen was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment

2050 KENNY RD, COLUMBUS, OH 43221(614) 293-5066(614) 293-9449 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2026, Apr 16, 2020, Mar 25, 2020 (3 updates tracked since 2020).

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About Kyle J Vandommelen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE J VANDOMMELEN MD (NPI 1073140356) is an individual medical oncology provider in Columbus, Ohio, licensed in Ohio (35.148129) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Western Michigan Un Homer Stryker School Of Med (2020).

NPPES Registry Identity

NPI1073140356

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameKYLE J VANDOMMELENCredential: MD

Location Address2050 KENNY RDColumbus, OH 43221-3502

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-5066 · Fax (614) 293-9449

Phone(614) 293-5066

Fax(614) 293-9449

Sole ProprietorNo

Medical School CMSWestern Michigan Un Homer Stryker School Of MedGraduated 2020

Enumeration DateMarch 25, 2020

Last NPPES UpdateApril 30, 20263 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1073140356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in OH · 35.148129

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

2050 KENNY RD, Columbus, OH 43221

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle J Vandommelen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385058593

PECOS Enrollment IDI20260622000520

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Vandommelen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osu Internal Medicine, LLC

1.0 mi

Internal Medicine

410 W 10TH AVE
Columbus, OH 43210

Reassigned Medicare billing, Ohio enrollment
1,230 clinicians in this Medicare group

NPI 1740231448 (614) 293-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA REARDON PHARMD, RPH

Pharmacist (Oncology)

2050 KENNY RD, ROOM 824
COLUMBUS, OH 43221

Franklin County (614) 366-0558

EMPICARE, INC.

Prosthetic/Orthotic Supplier

2050 KENNY RD, SUITE 3300
COLUMBUS, OH 43221

Franklin County (614) 293-2754

PRIYA HARAKH DEDHIA M.D.

Surgery (Surgical Oncology)