KYLE ALEXANDER COOK
NPI 1730822495
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
4301 W MARKHAM ST # 634, LITTLE ROCK, AR 72205(501) 686-7592 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kyle Alexander Cook NPPES

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

KYLE ALEXANDER COOK (NPI 1730822495) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of University Of Arkansas College Of Medicine (2022).

NPPES Registry Identity

NPI1730822495
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE ALEXANDER COOK
Location Address4301 W MARKHAM ST # 634Little Rock, AR 72205-7101
Mailing Address1917 Biscayne DrLittle Rock, AR 72227-3951 · (870) 273-8763
Sole ProprietorYes
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2022
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1730822495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST # 634, Little Rock, AR 72205

Secondary Practice Location 1

Location 11917 Biscayne DrLittle Rock, AR 72227-3951 · Phone (870) 273-8763

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 Alexander Cook 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 ID840678686
PECOS Enrollment IDI20260805002270
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 Cook reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
3001 APACHE DR STE B
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 439 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.

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.

Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 634
LITTLE ROCK, AR 72205

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 Cook's NPI number?

The NPI number for Kyle Cook is 1730822495. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Kyle Cook located?

Kyle Cook practices at 4301 W Markham St # 634, Little Rock, AR 72205. The listed phone number is (501) 686-7592.

What is Kyle Cook's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kyle Cook enrolled in Medicare?

Yes. Kyle Cook 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 organization bills Medicare for Kyle Cook's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Cook reassigns Medicare benefits to Northeast Arkansas Clinic Charitable Foundation, Inc (Jonesboro, AR). 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 Cook'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 Cook was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.