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MR. KYLE MACK
NPI 1669832424
Nurse Practitioner - Family in Beachwood, OH

Active since March 07, 2016PECOS Enrolled
3999 RICHMOND RD, BEACHWOOD, OH 44122(216) 593-5532 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kyle Mack NPPES

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

MR. KYLE MACK (NPI 1669832424) is an individual family provider in Beachwood, Ohio, licensed in Ohio (COA.18886-NP) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669832424
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KYLE MACK
Location Address3999 RICHMOND RDBeachwood, OH 44122-6046
Mailing Address3999 Richmond RdBeachwood, OH 44122-6046 · (216) 593-5532
Phone(216) 593-5532
Sole ProprietorNo
Enumeration DateMarch 7, 2016
✔ NPI 1669832424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA.18886-NP
3999 RICHMOND RD, Beachwood, OH 44122
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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)

Mr. Kyle Mack 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 44122 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$64.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RYKIEL HALEY LEVINE
Emergency Medicine
3999 RICHMOND RD
BEACHWOOD, OH 44122
Cuyahoga County (240) 686-2300
TRISHA TYO CNP
Nurse Practitioner (Family)
3999 RICHMOND RD
BEACHWOOD, OH 44122
Cuyahoga County (740) 707-3874
MARIDEE S BOOS DO
Pathology (Anatomic Pathology & Clinical Pathology)
3999 RICHMOND RD
BEACHWOOD, OH 44122
Cuyahoga County (216) 593-5532
MEERA PATEL FNP-C
Nurse Practitioner (Family)
3999 RICHMOND RD
BEACHWOOD, OH 44122
Cuyahoga County (216) 593-5500
MICHELLE MARIE BEZEK RPH
Pharmacist
3999 RICHMOND RD
BEACHWOOD, OH 44122
Cuyahoga County (440) 212-2881
DR. JOEL DAVID FENSTERMAKER PT, DPT
Physical Therapist
3999 RICHMOND RD
BEACHWOOD, OH 44122
Cuyahoga County (216) 593-1750
YAAKOV Y GLATZER MSN, APRN, FNP-C
Nurse Practitioner (Family)
3999 RICHMOND RD
BEACHWOOD, OH 44122
Cuyahoga County (216) 593-1546
LINDSEY LEIGH WATSON CNP
Nurse Practitioner (Adult Health)
3999 RICHMOND RD
BEACHWOOD, OH 44122
Cuyahoga County (216) 593-5500

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 Mack's NPI number?

The NPI number for Kyle Mack is 1669832424. It was assigned to this individual provider in the NPPES registry on March 7, 2016.

Where is Kyle Mack located?

Kyle Mack practices at 3999 Richmond Rd, Beachwood, OH 44122. The listed phone number is (216) 593-5532.

What is Kyle Mack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kyle Mack enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kyle Mack was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.