Physician Compare National (NPI:1053301622)

HEALTHCARE PROVIDER: KYLE MCCOY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053301622
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3678545183
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040806000192
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCCOY
	Individual professional last name
Provider First Name	KYLE
	Individual professional first name
Provider Middle Name	WILEY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	KNOXVILLE HMA CARDIOLOGY PPM, LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1658542758
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	27
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	900 E OAK HILL AVE
	Group Practice or individual's line 1 address
City	KNOXVILLE
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	379174505
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8655256688
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	440120
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PHYSICIANS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440033
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAFOLLETTE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	440057
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CLAIBORNE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y