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DR. KYLE LEE PAZZO MD
NPI 1871242313
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC

Active since March 22, 2022PECOS Enrolled
809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-4403 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kyle Lee Pazzo Md NPPES

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

DR. KYLE LEE PAZZO MD (NPI 1871242313) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871242313
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KYLE LEE PAZZOCredential: MD
Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607
Mailing Address809 82nd PkwyMyrtle Beach, SC 29572-4607 · (843) 692-4403
Phone(843) 692-4403
Sole ProprietorNo
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1871242313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
809 82ND PKWY, Myrtle Beach, SC 29572
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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)

Dr. Kyle Lee Pazzo Md 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.

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.

SOUTHEASTERN HOSPITALIST SERVICES PC
Hospitalist
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
BENJAMIN TYLER MCKINNEY MD
Emergency Medicine
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
MRS. ANGELA KATHLINE NAPLES APRN FNP-C
Nurse Practitioner
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1000
ALBAB SYED UDDIN
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (854) 894-3509
RAINECE J EADDY MD
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 497-8340
MS. POOJA M PATEL
Internal Medicine (Medical Oncology)
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1118
VISHAL SHAH DO
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1118
ZACHERY WILLIAM HENSEL DO
Student in an Organized Health Care Education/Training Program
809 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 692-1595

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 Pazzo's NPI number?

The NPI number for Kyle Pazzo is 1871242313. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Kyle Pazzo located?

Kyle Pazzo practices at 809 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 692-4403.

What is Kyle Pazzo'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 Pazzo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kyle Pazzo was last updated on March 22, 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.