DR. KYLE HERBERT MD
NPI 1699235853
Emergency Medicine in Washington, DC

Active since March 23, 2019PECOS EnrolledAccepts Medicare Assignment
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032(202) 741-2911(202) 741-2921 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Mar 27, 2023, May 2, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Kyle Herbert Md NPPES

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

DR. KYLE HERBERT MD (NPI 1699235853) is an individual emergency medicine provider in Washington, District Of Columbia, licensed in Louisiana (330096) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and maintains a secondary practice location in New Orleans.

NPPES Registry Identity

NPI1699235853
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KYLE HERBERTCredential: MD
Location Address1310 SOUTHERN AVE SEWashington, DC 20032-4623
Mailing Address4120 Clara StNew Orleans, LA 70115-6864 · (919) 623-6018
Fax(202) 741-2921
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2019
Enumeration DateMarch 23, 2019
Last NPPES UpdateJuly 24, 20234 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
NPI 1699235853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in LA · 330096
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1310 SOUTHERN AVE SE, Washington, DC 20032

Secondary Practice Location 1

Location 12000 Canal StNew Orleans, LA 70112-3018 · Phone (504) 702-2287

Accepted Insurance

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 Herbert 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 ID1850628694
PECOS Enrollment IDI20230713004077, I20250122000020
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490140
Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20032 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Public Health or Welfare
1310 SOUTHERN AVE SE, SUITE G-082
WASHINGTON, DC 20032
Surgery
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Physician Assistant (Medical)
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Nurse Practitioner (Pediatrics)
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Emergency Medicine
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Emergency Medicine
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Hospitalist
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032
Internal Medicine
1310 SOUTHERN AVE SE
WASHINGTON, DC 20032

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 Herbert's NPI number?

The NPI number for Kyle Herbert is 1699235853. It was assigned to this individual provider in the NPPES registry on March 23, 2019.

Where is Kyle Herbert located?

Kyle Herbert practices at 1310 Southern Ave SE, Washington, DC 20032. The listed phone number is (202) 741-2911.

What is Kyle Herbert's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kyle Herbert enrolled in Medicare?

Yes. Kyle Herbert 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.

What insurance does Kyle Herbert accept?

Health plans from CHRISTUS Health Plan list Kyle Herbert as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kyle Herbert affiliated with any hospitals?

According to CMS data, Kyle Herbert is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Kyle Herbert was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.