DR. KYLE RUSSELL RIDGE MD
NPI 1164908661
Family Medicine in Omaha, NE

Q: What is Kyle Ridge's NPI number?

The NPI number for Kyle Ridge is 1164908661. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Q: What is Kyle Ridge's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Ridge was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 17, 2018PECOS Enrolled

983075 NEBRASKA MEDICAL CTR, OMAHA, NE 68198(402) 595-2275(402) 595-1970 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kyle Russell Ridge Md NPPES

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

DR. KYLE RUSSELL RIDGE MD (NPI 1164908661) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (8233) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164908661

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KYLE RUSSELL RIDGECredential: MD

Location Address983075 NEBRASKA MEDICAL CTROmaha, NE 68198-3075

Mailing Address983075 Nebraska Medical CtrOmaha, NE 68198-3075 · (402) 595-2275 · Fax (402) 595-1970

Phone(402) 595-2275

Fax(402) 595-1970

Sole ProprietorNo

Enumeration DateJuly 17, 2018

✔ NPI 1164908661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NE · 8233

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

983075 NEBRASKA MEDICAL CTR, Omaha, NE 68198

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle Russell Ridge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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

$81.20 typical visit price

range $52.69 – $160.21

Typical copayment $20.30 (range $13.17 – $40.05)

Most-billed visit code 99203

Established Patient

$93.55 typical visit price

range $16.90 – $131.25

Typical copayment $23.38 (range $4.22 – $32.81)

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.

DR. MANISHA ASHOK JAIN MBBS

Family Medicine