DR. KYLE WILLSON DPM
NPI 1467868885
Podiatrist - Foot & Ankle Surgery in Vallejo, CA
About Dr. Kyle Willson Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE WILLSON DPM (NPI 1467868885) is an individual foot & ankle surgery provider in Vallejo, California, licensed in California (EL6700) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kyle Willson Dpm 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.
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.
VALLEJO, CA 94589
VALLEJO, CA 94589
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 Willson's NPI number?
The NPI number for Kyle Willson is 1467868885. It was assigned to this individual provider in the NPPES registry on July 7, 2014.
Where is Kyle Willson located?
Kyle Willson practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 651-1000.
What is Kyle Willson's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Kyle Willson enrolled in Medicare?
Yes. Kyle Willson 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.
When was this NPI record last updated?
The NPPES record for Kyle Willson was last updated on December 17, 2021. 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.
# Dr. Kyle Willson, DPM · NPI 1467868885
Foot & Ankle Surgery provider in Vallejo, California. Individual provider, active in the CMS NPPES registry since July 7, 2014.
## Identity
- **NPI:** 1467868885 (Entity type: Individual)
- **Enumerated:** July 7, 2014
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** EL6700 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 975 SERENO DR, Vallejo, CA 94589-2441
- **Phone:** (707) 651-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Barry University School Of Podiatric Medicine, class of 2014
## Record status
- **NPPES last updated:** December 17, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1467868885) · Data from the CMS NPPES public registry.