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DR. KYLE MIHAYLO MD
NPI 1366932311
Pediatrics - Sports Medicine in Puyallup, WA

Active since May 15, 2018PECOS Enrolled
1706 S MERIDIAN, PUYALLUP, WA 98371(253) 848-8797 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kyle Mihaylo Md NPPES

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

DR. KYLE MIHAYLO MD (NPI 1366932311) is an individual sports medicine provider in Puyallup, Washington, licensed in Washington (MD61296869) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366932311
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameDR. KYLE MIHAYLOCredential: MD
Location Address1706 S MERIDIANPuyallup, WA 98371-7516
Mailing Address1706 S MeridianPuyallup, WA 98371-7516 · (253) 848-8797
Phone(253) 848-8797
Sole ProprietorNo
Enumeration DateMay 15, 2018
Last NPPES UpdateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1366932311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in WA · MD61296869
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License MD61296869 (WA)
Also ListedPediatricsTaxonomy 208000000X · License MD61296869 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1706 S MERIDIAN, Puyallup, WA 98371
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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 Mihaylo 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.

Other Providers at the Same Location NPPES 7

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

SHAWNA HOOD ARNP
Nurse Practitioner (Pediatrics)
1706 S MERIDIAN, SUITE 120
PUYALLUP, WA 98371
Pierce County (253) 848-8797
AMY VRANEY VIRNIG ARNP
Nurse Practitioner (Family)
1706 S MERIDIAN, STE 120
PUYALLUP, WA 98371
Pierce County (253) 848-8797
SHANNON RENICH
Marriage & Family Therapist
1706 S MERIDIAN, SUITE 120
PUYALLUP, WA 98371
Pierce County (253) 446-3202
LAURA S HOPPER ARNP
Nurse Practitioner (Family)
1706 S MERIDIAN, STE 120
PUYALLUP, WA 98371
Pierce County (253) 848-8797
WOODCREEK PEDIATRICS, PLLC
Pediatrics
1706 S MERIDIAN, SUITE 120
PUYALLUP, WA 98371
Pierce County (253) 848-8797
EMILY KATHERINE WILSON FNP
Nurse Practitioner
1706 S MERIDIAN
PUYALLUP, WA 98371
Pierce County (253) 848-8797
TERI MOSER WOO PNP
Nurse Practitioner (Pediatrics)
1706 S MERIDIAN, SUITE 120
PUYALLUP, WA 98371
Pierce County (253) 446-3202

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 Mihaylo's NPI number?

The NPI number for Kyle Mihaylo is 1366932311. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Where is Kyle Mihaylo located?

Kyle Mihaylo practices at 1706 S Meridian, Puyallup, WA 98371. The listed phone number is (253) 848-8797.

What is Kyle Mihaylo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Kyle Mihaylo enrolled in Medicare?

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

What insurance does Kyle Mihaylo accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kyle Mihaylo 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 Mihaylo was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.