DR. KYLE JOSEPH SHIFFLER DDS, MD
NPI 1306200985
Oral & Maxillofacial Surgery in Phoenix, AZ
About Dr. Kyle Joseph Shiffler Dds, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE JOSEPH SHIFFLER DDS, MD (NPI 1306200985) is an individual oral & maxillofacial surgery provider in Phoenix, Arizona, licensed in Arizona (76277) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kyle Joseph Shiffler Dds, Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Kyle Shiffler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 553 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.
PHOENIX, AZ 85006
PHOENIX, AZ 85006
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 Shiffler's NPI number?
The NPI number for Kyle Shiffler is 1306200985. It was assigned to this individual provider in the NPPES registry on April 8, 2016.
Where is Kyle Shiffler located?
Kyle Shiffler practices at 1441 N 12th St, Phoenix, AZ 85006. The listed phone number is (602) 521-5150.
What is Kyle Shiffler's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Kyle Shiffler enrolled in Medicare?
Yes. Kyle Shiffler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kyle Shiffler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Shiffler reassigns Medicare benefits to Banner - University Physician Specialists LLC (Phoenix, AZ). 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 Shiffler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Shiffler accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Montana and 14 other insurers list Kyle Shiffler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kyle Shiffler was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Joseph Shiffler, DDS, MD · NPI 1306200985
Oral & Maxillofacial Surgery physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 8, 2016.
## Identity
- **NPI:** 1306200985 (Entity type: Individual)
- **Enumerated:** April 8, 2016
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** 76277 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 1441 N 12TH ST, Phoenix, AZ 85006-2837
- **Phone:** (602) 521-5150
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner - University Physician Specialists LLC (NPI 1417312760, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306200985) · Data from the CMS NPPES public registry.