KYLE GOHAM
NPI 1942638325
Anesthesiologist Assistant in Menomonee Falls, WI

Active since October 23, 2013Accepts Medicare Assignment
80.46/100
CMS Quality Rating
W180N8085 TOWN HALL RD, DEPT OF ANESTHESIOLOGY, MENOMONEE FALLS, WI 53051(262) 257-5100 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kyle Goham NPPES

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

KYLE GOHAM (NPI 1942638325) is an individual anesthesiologist assistant in Menomonee Falls, Wisconsin, licensed in Wisconsin (7717) and active in the NPI registry since October 2013. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1942638325
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameKYLE GOHAM
Location AddressW180N8085 TOWN HALL RD, DEPT OF ANESTHESIOLOGYMenomonee Falls, WI 53051-3518
Mailing AddressW180n8085 Town Hall Rd, Dept Of AnesthesiologyMenomonee Falls, WI 53051-3518 · (262) 257-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 23, 2013
Last NPPES UpdateJune 22, 2016
NPI 1942638325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses Licensed in WI · 7717 Licensed in GA · 006981
Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

W180N8085 TOWN HALL RD, Menomonee Falls, WI 53051

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 Goham 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 ID4981830197
PECOS Enrollment IDI20160714000596

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
26 services25 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
13 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

Orthopaedic Surgery
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Nurse Practitioner (Family)
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Pharmacist
W180N8085 TOWN HALL RD, PHARMACY
MENOMONEE FALLS, WI 53051
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051

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 Goham's NPI number?

The NPI number for Kyle Goham is 1942638325. It was assigned to this individual provider in the NPPES registry on October 23, 2013.

Where is Kyle Goham located?

Kyle Goham practices at W180n8085 Town Hall Rd Dept Of Anesthesiology, Menomonee Falls, WI 53051. The listed phone number is (262) 257-5100.

What is Kyle Goham's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kyle Goham enrolled in Medicare?

Yes. Kyle Goham 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.

When was this NPI record last updated?

The NPPES record for Kyle Goham was last updated on June 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.