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KYLE WICKHAM MD
NPI 1558063248
Pediatrics in Boston, MA

Active since March 20, 2023PECOS Enrolled
801 ALBANY ST, BOSTON, MA 02119(617) 638-8000 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Mar 20, 2023 (2 updates tracked since 2023).

About Kyle Wickham Md NPPES

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

KYLE WICKHAM MD (NPI 1558063248) is an individual pediatrics provider in Boston, Massachusetts, licensed in California (A207633) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558063248
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameKYLE WICKHAMCredential: MD
Location Address801 ALBANY STBoston, MA 02119-2560
Mailing Address801 Albany StBoston, MA 02119-2560
Phone(617) 638-8000
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1558063248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A207633
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
801 ALBANY ST, Boston, MA 02119
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Wickham 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

FRANCISCA CHOU
Student in an Organized Health Care Education/Training Program
801 ALBANY ST
BOSTON, MA 02119
Suffolk County (617) 355-8241
BOSTON MEDICAL CENTER CORPORATION
Case Management
801 ALBANY ST
BOSTON, MA 02119
Suffolk County (617) 414-5170
DR. BRITISH FIELDS MD
Student in an Organized Health Care Education/Training Program
801 ALBANY ST
BOSTON, MA 02119
Suffolk County (617) 355-8241
MS. REGINA BERNAL
Student in an Organized Health Care Education/Training Program
801 ALBANY ST
BOSTON, MA 02119
Suffolk County (617) 414-4244
DR. ALEXANDER RAU EATON MD
Student in an Organized Health Care Education/Training Program
801 ALBANY ST
BOSTON, MA 02119
Suffolk County (617) 355-8241
HARITHA ARIBINDI
Student in an Organized Health Care Education/Training Program
801 ALBANY ST
BOSTON, MA 02119
Suffolk County (617) 638-8000
PRABHJOT MINHAS
Student in an Organized Health Care Education/Training Program
801 ALBANY ST
BOSTON, MA 02119
Suffolk County (617) 638-8000
DR. KIYAH LILLIAN ANDERSON MD
Surgery
801 ALBANY ST
BOSTON, MA 02119
Suffolk County (617) 414-5423

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 Wickham's NPI number?

The NPI number for Kyle Wickham is 1558063248. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Kyle Wickham located?

Kyle Wickham practices at 801 Albany St, Boston, MA 02119. The listed phone number is (617) 638-8000.

What is Kyle Wickham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kyle Wickham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kyle Wickham was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.