KYLE DOUGLAS WEBSTER DO, PHD
NPI 1912536749
Student in an Organized Health Care Education/Training Program in Indianapolis, IN
About Kyle Douglas Webster Do, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE DOUGLAS WEBSTER DO, PHD (NPI 1912536749) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle Douglas Webster Do, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyle Webster reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saline, MI 48176
- Reassigned Medicare billing, Michigan enrollment
- 41 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.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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 Webster's NPI number?
The NPI number for Kyle Webster is 1912536749. It was assigned to this individual provider in the NPPES registry on April 3, 2020.
Where is Kyle Webster located?
Kyle Webster practices at 355 W 16th St, Indianapolis, IN 46202. The listed phone number is (317) 963-7288.
What is Kyle Webster'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 Webster enrolled in Medicare?
Yes. Kyle Webster is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyle Webster's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Webster reassigns Medicare benefits to State Of Michigan Office Of Financial Management (Saline, MI). 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 Webster'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 Webster was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kyle Douglas Webster, DO, PHD · NPI 1912536749
Student in an Organized Health Care Education/Training Program provider in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since April 3, 2020.
## Identity
- **NPI:** 1912536749 (Entity type: Individual)
- **Enumerated:** April 3, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 355 W 16TH ST, Indianapolis, IN 46202-2207
- **Phone:** (317) 963-7288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Michigan Office Of Financial Management (NPI 1003859380, Saline, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1912536749) · Data from the CMS NPPES public registry.