KYLE GREEN PA-C
NPI 1194246041
Physician Assistant - Surgical in Rancho Santa Margarita, CA

Q: What is Kyle Green's NPI number?

The NPI number for Kyle Green is 1194246041. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Q: What is Kyle Green's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Green was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 30, 2017PECOS EnrolledAccepts Medicare Assignment

22431 ANTONIO PKWY # B160-613, RANCHO SANTA MARGARITA, CA 92688(855) 727-2251(855) 727-2251 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2022, Jul 21, 2022, Jun 30, 2017 (3 updates tracked since 2017).

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About Kyle Green Pa-c NPPES

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

KYLE GREEN PA-C (NPI 1194246041) is an individual surgical provider in Rancho Santa Margarita, California and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194246041

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameKYLE GREENCredential: PA-C

Location Address22431 ANTONIO PKWY # B160-613Rancho Santa Margarita, CA 92688-2804

Mailing Address22431 Antonio Pkwy # B160-613Rancho Santa Margarita, CA 92688-2804 · (855) 727-2251 · Fax (855) 727-2251

Phone(855) 727-2251

Fax(855) 727-2251

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 30, 2017

Last NPPES UpdateNovember 10, 20223 updates tracked since enumeration

NPPES CertifiedNovember 10, 2022

✔ NPI 1194246041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedPhysician AssistantTaxonomy 363A00000X

22431 ANTONIO PKWY # B160-613, Rancho Santa Margarita, CA 92688

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Other Identifiers 1

Other58474CA · Physician Assistant

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kyle Green Pa-c 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 ID1254718182

PECOS Enrollment IDI20220516002011

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

21 services21 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

19 services19 patients

Other Providers at the Same Location NPPES 14

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

MR. ROBERT DUANE FROST PA-C

Physician Assistant (Surgical)