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K. KYLE BALLEW, D.P.M., P.A.
NPI 1093220584
Podiatrist - Foot & Ankle Surgery in Waco, TX

Active since December 06, 2017
7125 NEW SANGER RD STE 502, WACO, TX 76712(254) 732-2224(254) 732-2226 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 26, 2024, Apr 8, 2019, Mar 20, 2019 and 1 more (4 updates tracked since 2017).

About K. Kyle Ballew, D.p.m., P.a. NPPES

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

K. KYLE BALLEW, D.P.M., P.A. (NPI 1093220584), doing business as K. Kyle Ballew, D.p.m., is a healthcare organization registered as a foot & ankle surgery in Waco, Texas and active in the NPI registry since December 2017. The organization lists Kristi Tye, Office Coordinator, as its authorized official.

NPPES Registry Identity

NPI1093220584
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameK. KYLE BALLEW, D.P.M., P.A.
Location Address7125 NEW SANGER RD STE 502Waco, TX 76712-4054
Mailing Address7125 New Sanger Rd Ste 502Waco, TX 76712-4054 · (254) 732-2224 · Fax (254) 732-2226
Phone(254) 732-2224
Fax(254) 732-2226
Organization SubpartNo
Authorized OfficialKristi TyeOffice Coordinator · (254) 732-2224
Enumeration DateDecember 6, 2017
Last NPPES UpdateApril 26, 20244 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1093220584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
7125 NEW SANGER RD STE 502, Waco, TX 76712
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Other Names 1

Former Legal Business NameK. Kyle Ballew, D.p.m.

Other Identifiers 1

Medicaid3921892TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

K. Kyle Ballew, D.p.m., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to K. Kyle Ballew, D.P.M., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kyle Ballew, DPM
Podiatry
NPI 1437124633
7125 NEW SANGER AVE STE 502
Waco, TX 76712
(254) 732-2224
✔ PECOS✔ Accepts Medicare0.1 mi

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is K. Kyle Ballew, D.P.M., P.A.'s NPI number?

The NPI number for K. Kyle Ballew, D.P.M., P.A. is 1093220584. It was assigned to this organization in the NPPES registry on December 6, 2017. The provider was formerly known as K. Kyle Ballew, D.P.M..

Where is K. Kyle Ballew, D.P.M., P.A. located?

K. Kyle Ballew, D.P.M., P.A. is located at 7125 New Sanger Rd Ste 502, Waco, TX 76712. The listed phone number is (254) 732-2224.

What is K. Kyle Ballew, D.P.M., P.A.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is K. Kyle Ballew, D.P.M., P.A. enrolled in Medicare?

Yes. K. Kyle Ballew, D.P.M., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through K. Kyle Ballew, D.P.M., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to K. Kyle Ballew, D.P.M., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for K. Kyle Ballew, D.P.M., P.A. was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.