KYLE BOHAN D.O.
NPI 1457730855
Family Medicine in Tucson, AZ
About Kyle Bohan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE BOHAN D.O. (NPI 1457730855) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (010766) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 1
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
Kyle Bohan D.o. 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
4Medicare enrollment records show Kyle Bohan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tucson, AZ 85714
- Reassigned Medicare billing, Arizona enrollment
- 464 clinicians in this Medicare group
Tucson, AZ 85711
- Reassigned Medicare billing, Arizona enrollment
- 1,514 clinicians in this Medicare group
Socorro, NM 87801
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 clinicians in this Medicare group
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- 147 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
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 Bohan's NPI number?
The NPI number for Kyle Bohan is 1457730855. It was assigned to this individual provider in the NPPES registry on May 19, 2015.
Where is Kyle Bohan located?
Kyle Bohan practices at 3950 S Country Club Rd Ste 130, Tucson, AZ 85714. The listed phone number is (520) 670-3909.
What is Kyle Bohan's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kyle Bohan enrolled in Medicare?
Yes. Kyle Bohan 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 Bohan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Bohan reassigns Medicare benefits to 4 organizations: El Rio Santa Cruz Neighborhood Health Center, Inc (Tucson, AZ), Banner-University Medical Group (Tucson, AZ), Presbyterian Healthcare Services (Socorro, NM) and 16th Street Community Health Center Inc. (Waukesha, WI). 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 Bohan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Bohan accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. and 2 other insurers list Kyle Bohan 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 Bohan was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Bohan, D.O. · NPI 1457730855
Family Medicine physician in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since May 19, 2015.
## Identity
- **NPI:** 1457730855 (Entity type: Individual)
- **Enumerated:** May 19, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 010766 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 3950 S COUNTRY CLUB RD STE 130, Tucson, AZ 85714-2203
- **Phone:** (520) 670-3909
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): El Rio Santa Cruz Neighborhood Health Center, Inc (NPI 1831821156, Tucson, AZ); Banner-University Medical Group (NPI 1932708328, Tucson, AZ); Presbyterian Healthcare Services (NPI 1336124205, Socorro, NM); 16th Street Community Health Center Inc. (NPI 1144593815, Waukesha, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 19, 2024
- **Other identifiers:** Medicaid 1457730855 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1457730855) · Data from the CMS NPPES public registry.