Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kyle B Heron, MD

Individual provider Interventional Pain Medicine Physician · NPI 1912918962

Dr. Kyle B Heron, MD is an Interventional Pain Management in Modesto, California. Graduated from Albany Medical College of Union University in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Trained at
Albany Medical College of Union University
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4016 Dale Rd
Modesto, CA 95356-9268
Phone: (209) 571-0288
Fax: (209) 571-0327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence G83786 (CA)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence G83786 (CA)

Record details

NPI number1912918962
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 11, 2006
Last updated in NPPESMay 26, 2020
Certification dateMay 26, 2020
Mailing address4016 Dale Rd, Modesto, CA 95356-9268

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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