DR. KYLE MITCHAM MASTERS MD
NPI 1194040840
Internal Medicine in Apo, AE
About Dr. Kyle Mitcham Masters Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE MITCHAM MASTERS MD (NPI 1194040840) is an individual internal medicine provider in Apo, AE, licensed in Washington (60602303) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kyle Mitcham Masters Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyle Masters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gresham, OR 97030
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1184786527 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
APO, AE 09180
APO, AE 09180
APO, AE 09180
APO, AE 09180
APO, AE 09180
APO, AE 09180
APO, AE 09180
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 Kyle Masters's NPI number?
The NPI number for Kyle Masters is 1194040840. It was assigned to this individual provider in the NPPES registry on April 6, 2010. The provider is also known as Dr. Kyle M. Masters MD.
Where is Kyle Masters located?
Kyle Masters practices at Landstuhl Regional Medical Center Unit 33100, Apo, AE 09180. The listed phone number is (314) 590-5615.
What is Kyle Masters's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kyle Masters enrolled in Medicare?
Yes. Kyle Masters is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyle Masters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Masters reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). The 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 Kyle Masters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kyle Masters was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Dr. Kyle Mitcham Masters, MD · NPI 1194040840
Internal Medicine physician in Apo, AE. Individual provider, active in the CMS NPPES registry since April 6, 2010.
## Identity
- **NPI:** 1194040840 (Entity type: Individual)
- **Enumerated:** April 6, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 60602303 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** LANDSTUHL REGIONAL MEDICAL CENTER, UNIT 33100, Apo, AE 09180-3100
- **Phone:** (314) 590-5615
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sapphire At Gresham Rehab, LLC (NPI 1033740899, Gresham, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 14, 2025
- **Other identifiers:** Medicaid 59926066 (CO); Medicaid 59926066 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1194040840) · Data from the CMS NPPES public registry.