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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KYLE STEPHEN KOTLEBA M.D.
NPI 1679268478
Internal Medicine in Pittsburgh, PA

Active since April 07, 2023PECOS Enrolled
1400 LOCUST STREET, SUITE 10517, PITTSBURGH, PA 15219(412) 232-4065(412) 232-5689 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2026, Apr 7, 2023 (2 updates tracked since 2023).

About Dr. Kyle Stephen Kotleba M.d. NPPES

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

DR. KYLE STEPHEN KOTLEBA M.D. (NPI 1679268478) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Missouri (2026036666) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Branson, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679268478
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KYLE STEPHEN KOTLEBACredential: M.D.
Location Address1400 LOCUST STREET, SUITE 10517Pittsburgh, PA 15219-5166
Mailing Address3600 Forbes Avenue, Forbes Tower-plaza Level Suite 140Pittsburgh, PA 15213-5166
Phone(412) 232-4065
Fax(412) 232-5689
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 7, 2023
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1679268478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2026036666
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1400 LOCUST STREET, Pittsburgh, PA 15219
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Secondary Practice Location 1

Location 1525 Branson Landing Blvd Ste 201ABranson, MO 65616-2052 · Phone (417) 335-7128

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle Stephen Kotleba M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951760339
PECOS Enrollment IDI20260818002681
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 Reassignment

Medicare enrollment records show Kyle Kotleba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Skaggs Community Hospital Association
755 mi
Rural Health
13852 US HIGHWAY 160
Forsyth, MO 65653
  • Reassigned Medicare billing, Missouri enrollment
  • 91 clinicians in this Medicare group
NPI 1861423683 (417) 546-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15219 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

CATHERINE WESTBOM MD
Student in an Organized Health Care Education/Training Program
1400 LOCUST STREET, ERMIRE: SUITE 6511
PITTSBURGH, PA 15219
Allegheny County (412) 232-5528
ROBERT T. JOHNSTON MD PLLC
Internal Medicine
1400 LOCUST STREET, SUITE 5106
PITTSBURGH, PA 15219
Allegheny County (412) 471-3061
NISHANIE KESHINIE JAYAWARDENA M.D.
Student in an Organized Health Care Education/Training Program
1400 LOCUST STREET, SUITE 10517
PITTSBURGH, PA 15219
Allegheny County (412) 232-4065
DANIELLE GAIL VULCANO PHARMD
Student in an Organized Health Care Education/Training Program
1400 LOCUST STREET
PITTSBURGH, PA 15219
Allegheny County (412) 232-7903
ARIC JOSEPH HUBER MD
Student in an Organized Health Care Education/Training Program
1400 LOCUST STREET, BLD. B SUITE 6511
PITTSBURGH, PA 15219
Allegheny County (412) 232-5528
CAROLINE ANNE PENNACCHIO MD
Student in an Organized Health Care Education/Training Program
1400 LOCUST STREET, BLG. B, SUITE 6511
PITTSBURGH, PA 15219
Allegheny County (412) 232-5528
DR. BRETT RICHARD SNYDER PHARM.D.
Student in an Organized Health Care Education/Training Program
1400 LOCUST STREET, UPMC MERCY - DEPARTMENT OF PHARMACEUTICAL SERVICES
PITTSBURGH, PA 15219
Allegheny County (412) 232-8211
LAUREN GABRIELLE PHAR PHARMD
Student in an Organized Health Care Education/Training Program
1400 LOCUST STREET
PITTSBURGH, PA 15219
Allegheny County (412) 232-8211

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 Kotleba's NPI number?

The NPI number for Kyle Kotleba is 1679268478. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Kyle Kotleba located?

Kyle Kotleba practices at 1400 Locust Street Suite 10517, Pittsburgh, PA 15219. The listed phone number is (412) 232-4065.

What is Kyle Kotleba's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kyle Kotleba enrolled in Medicare?

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

Which organization bills Medicare for Kyle Kotleba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Kotleba reassigns Medicare benefits to Skaggs Community Hospital Association (Forsyth, MO). The 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 Kotleba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kyle Kotleba was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.