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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: August 16, 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
Phone(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
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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 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

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.

DEBRA J CASPER NP
Nurse Practitioner (Acute Care)
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3510
MR. ERIC J BACHAR R.PH.
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
DANIEL WILLIAM FLANAGAN ACNPC-BC
Nurse Practitioner (Acute Care)
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 251-1000
ROCHELLE A SOHL MD
Obstetrics & Gynecology
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 251-1000
MS. KRISTIN KRUGER SANDEN MS, CGC
Genetic Counselor, MS
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-5080
SARAH GOERKE MS, RD, CDCES
Dietitian, Registered
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3644
AMMAR HAQ AA
Anesthesiologist Assistant
W180N8085 TOWN HALL RD, ANESTHESIOLOGY
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-5100
JENNIFER AGUIRRE
Dietitian, Registered
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3638

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.