KYLE COFFMAN MD
NPI 1619670684
General Practice in Louisville, KY

Active since March 27, 2023PECOS EnrolledAccepts Medicare Assignment
530 S JACKSON ST, LOUISVILLE, KY 40202(502) 562-3000 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, Mar 5, 2025, Mar 27, 2023 (3 updates tracked since 2023).

About Kyle Coffman Md NPPES

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

KYLE COFFMAN MD (NPI 1619670684) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (R6746) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619670684
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKYLE COFFMANCredential: MD
Location Address530 S JACKSON STLouisville, KY 40202-1675
Mailing Address2325 Timoney LnReno, NV 89503-2259 · (775) 224-5766
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 27, 2023
Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1619670684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in KY · R6746
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
530 S JACKSON ST, Louisville, KY 40202

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 Coffman Md 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.

PECOS PAC ID9931649282
PECOS Enrollment IDI20250522002928
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kyle Coffman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
530 S JACKSON ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group
Emergency Medicine
913 N DIXIE AVE
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 46 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

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.

Anesthesiology
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Practitioner (Acute Care)
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
530 S JACKSON ST
LOUISVILLE, KY 40202
Radiology (Vascular & Interventional Radiology)
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Anesthetist, Certified Registered
530 S JACKSON ST
LOUISVILLE, KY 40202
Nurse Practitioner (Psychiatric/Mental Health)
530 S JACKSON ST
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
530 S JACKSON ST
LOUISVILLE, KY 40202
Student in an Organized Health Care Education/Training Program
530 S JACKSON ST
LOUISVILLE, KY 40202

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 Coffman's NPI number?

The NPI number for Kyle Coffman is 1619670684. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Kyle Coffman located?

Kyle Coffman practices at 530 S Jackson St, Louisville, KY 40202. The listed phone number is (502) 562-3000.

What is Kyle Coffman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Kyle Coffman enrolled in Medicare?

Yes. Kyle Coffman 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 Coffman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Coffman reassigns Medicare benefits to 2 organizations: University Of Louisville Phyisicians, Inc. (Louisville, KY) and Elizabethtown Emergency Physicians, LLC (Elizabethtown, KY). 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 Coffman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kyle Coffman affiliated with any hospitals?

According to CMS data, Kyle Coffman is affiliated with Baptist Health Hardin and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Coffman was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.