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

Dr. Kyle J Ericson, MD

Individual provider Urology Physician · NPI 1174933048

Dr. Kyle J Ericson, MD is an Urology in Westlake, Ohio. Qualified in 2015, 11 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Ohio.

Years since qualifying
11
Licensed in
IL, OH
In the registry since
2014
Specialties on file
3
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

29000 Center Ridge Rd Ste 400
Westlake, OH 44145-5219
Phone: (440) 835-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 35.142520 (OH)
Urology Physician Taxonomy 208800000X · Licence 57.026312 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1174933048
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 1, 2014
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022
Mailing address2350 Charney Rd, University Heights, OH 44118-3720

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Westlake