KYLE ALAN SMITH
NPI 1790595049
Physician Assistant in Syracuse, NY

Q: What is Kyle Smith's NPI number?

The NPI number for Kyle Smith is 1790595049. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Q: What is Kyle Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Smith was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 09, 2025PECOS EnrolledAccepts Medicare Assignment

1226 E WATER ST, SYRACUSE, NY 13210(315) 478-4185(315) 478-0840 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kyle Alan Smith NPPES

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

KYLE ALAN SMITH (NPI 1790595049) is an individual physician assistant in Syracuse, New York and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1790595049

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKYLE ALAN SMITH

Location Address1226 E WATER STSyracuse, NY 13210-1155

Mailing Address100 Metropolitan Park Dr Ste 100Liverpool, NY 13088-7112 · (315) 870-9369 · Fax (315) 870-9364

Phone(315) 478-4185

Fax(315) 478-0840

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 9, 2025

Last NPPES UpdateJanuary 23, 2025

NPPES CertifiedJanuary 23, 2025

✔ NPI 1790595049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1226 E WATER ST, Syracuse, NY 13210

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Secondary Practice Locations 7

Location 180 E Main St Ste 2ACanton, NY 13617-1450 · Phone (315) 714-2559

Location 25700 W Genesee St Ste 124Camillus, NY 13031-3206 · Phone (315) 478-4185 · Fax (315) 478-0840

Location 35100 W Taft Rd Ste 4DLiverpool, NY 13088-3810 · Phone (315) 458-6669 · Fax (315) 458-0819

Location 4357 Genesee StOneida, NY 13421-2658 · Phone (315) 363-8862 · Fax (315) 363-3326

Location 52 Ellinwood DrNew Hartford, NY 13413-1102 · Phone (315) 724-1012 · Fax (315) 724-5219

Location 64211 Medical Center DrFayetteville, NY 13066-6637 · Phone (315) 329-0210 · Fax (315) 329-0215

Location 7192 Genesee StAuburn, NY 13021-3361 · Phone (315) 258-5253 · Fax (315) 258-0202

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Kyle Alan Smith 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 ID6507387735

PECOS Enrollment IDI20250305000087

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.

Hospital Affiliations CMS Care Compare

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

Oswego Hospital

Acute Care Hospitals · Oswego, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330218

Location110 West Sixth StreetOswego, NY 13126 · Oswego County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

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.

DR. DIANA A DIMITROV M.D.

Pathology (Anatomic Pathology & Clinical Pathology)