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KYLE JOSEPH HENNEBERRY MD
NPI 1285723957
Radiology - Diagnostic Radiology in Woodinville, WA

Active since October 12, 2006PECOS Enrolled
16040 NE 153RD ST, WOODINVILLE, WA 98072(208) 416-2932(855) 673-9190 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kyle Joseph Henneberry Md NPPES

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

KYLE JOSEPH HENNEBERRY MD (NPI 1285723957) is an individual diagnostic radiology provider in Woodinville, Washington, licensed in Washington (MD00047394) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285723957
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKYLE JOSEPH HENNEBERRYCredential: MD
Location Address16040 NE 153RD STWoodinville, WA 98072-8903
Mailing Address22100 Bothell Everett HwyBothell, WA 98021-8431 · (208) 416-2932 · Fax (855) 673-9190
Phone(208) 416-2932
Fax(855) 673-9190
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 6, 2023
NPPES CertifiedJuly 6, 2023
✔ NPI 1285723957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WA · MD00047394
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
16040 NE 153RD ST, Woodinville, WA 98072
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Joseph Henneberry 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.

Medicare Billing Reassignments

7

Medicare enrollment records show Kyle Henneberry reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Direct Radiology PLLC
5.8 mi
Diagnostic Radiology
22100 BOTHELL EVERETT HWY
Bothell, WA 98021
  • Reassigned Medicare billing, Washington enrollment
  • 3 clinicians in this Medicare group
NPI 1144572173 (855) 687-7237
Enloe Medical Center
552 mi
Surgery
1600 ESPLANADE, SUITE C
Chico, CA 95926
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1477975613 (530) 332-7300
Oroville Hospital
569 mi
General Acute Care Hospital
2767 OLIVE HWY
Oroville, CA 95966
  • Reassigned Medicare billing, Washington enrollment
  • 5 clinicians in this Medicare group
NPI 1710372909 (530) 533-8500
Jason L Hwang MD Inc
680 mi
Diagnostic Radiology
1000 GREENLEY RD
Sonora, CA 95370
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1811486616 (209) 532-5000
Columbus Radiology Physicians LLC
1,894 mi
Diagnostic Radiology
2400 E. 17TH STREET
Columbus, IN 47201
  • Reassigned Medicare billing, Washington enrollment
  • 4 clinicians in this Medicare group
NPI 1467964718 (800) 841-4938
Radiology Alliance PC
1,966 mi
Diagnostic Radiology
210 25TH AVE N STE 602
Nashville, TN 37203
  • Reassigned Medicare billing, Washington enrollment
  • 20 clinicians in this Medicare group
NPI 1861478489 (615) 312-0600
Tennessee Valley Radiology LLC
2,095 mi
Diagnostic Radiology
304 CHURCH ST
Sweetwater, TN 37874
  • Reassigned Medicare billing, Washington enrollment
  • 5 clinicians in this Medicare group
NPI 1356367551 (865) 584-7376

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 98072 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Henneberry's NPI number?

The NPI number for Kyle Henneberry is 1285723957. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Kyle Henneberry located?

Kyle Henneberry practices at 16040 NE 153rd St, Woodinville, WA 98072. The listed phone number is (208) 416-2932.

What is Kyle Henneberry's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kyle Henneberry enrolled in Medicare?

Yes. Kyle Henneberry is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kyle Henneberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Henneberry reassigns Medicare benefits to 7 organizations: Direct Radiology PLLC (Bothell, WA), Enloe Medical Center (Chico, CA), Oroville Hospital (Oroville, CA), Jason L Hwang MD Inc (Sonora, CA), Columbus Radiology Physicians LLC (Columbus, IN) and 2 more organizations, listed in the Medicare section above. Each 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 Henneberry'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 Henneberry was last updated on July 6, 2023. 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.