KYLE THOMAS HEROUT DO
NPI 1427625219
Student in an Organized Health Care Education/Training Program in Modesto, CA
About Kyle Thomas Herout Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE THOMAS HEROUT DO (NPI 1427625219) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2021).
NPPES Registry Identity
Specialties & Licenses
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
Kyle Thomas Herout Do 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 Reassignments
2Medicare enrollment records show Kyle Herout reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Arcata, CA 95521
- Reassigned Medicare billing, California enrollment
- 43 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.
MODESTO, CA 95356
MODESTO, CA 95356
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 Herout's NPI number?
The NPI number for Kyle Herout is 1427625219. It was assigned to this individual provider in the NPPES registry on June 9, 2021.
Where is Kyle Herout located?
Kyle Herout practices at 4601 Dale Rd, Modesto, CA 95356. The listed phone number is (209) 735-5000.
What is Kyle Herout's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kyle Herout enrolled in Medicare?
Yes. Kyle Herout 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 organizations bill Medicare for Kyle Herout's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Herout reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Stockton, CA) and North Pacific Cardiology Medical (Arcata, CA). 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 Herout'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 Herout was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kyle Thomas Herout, DO · NPI 1427625219
Student in an Organized Health Care Education/Training Program provider in Modesto, California. Individual provider, active in the CMS NPPES registry since June 9, 2021.
## Identity
- **NPI:** 1427625219 (Entity type: Individual)
- **Enumerated:** June 9, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4601 DALE RD, Modesto, CA 95356-9718
- **Phone:** (209) 735-5000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1548343510, Stockton, CA); North Pacific Cardiology Medical (NPI 1093821837, Arcata, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Bradenton, class of 2021
## Record status
- **NPPES last updated:** June 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1427625219) · Data from the CMS NPPES public registry.