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

Dr. Kyle Ivers, MBBCHBAO

Individual provider Emergency Medicine Physician · NPI 1407436868

Dr. Kyle Ivers, MBBCHBAO is an Emergency Medicine in Syracuse, New York. Qualified in 2021, 5 years ago. Practices with Physicians Medical Associates New York PC, a 97-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1807
Phone: (315) 448-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 332565 (NY)

Record details

NPI number1407436868
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBCHBAO
Sole proprietorYes
NPI enumeratedApril 10, 2021
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing address1001 Hoffman St, Elmira, NY 14905-1605

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Physicians Medical Associates New York Pc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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