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

Dr. Kyle Stephen Kimura, MD

Individual provider Otolaryngology Physician · NPI 1013361005

Dr. Kyle Stephen Kimura, MD is an Otolaryngology in Merriam, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2016, 10 years ago. Practices with Ascentist Physicians Group LLC, a 109-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California, Kansas and Missouri.

Years since qualifying
10
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
CA, KS, MO
In the registry since
2016
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6815 Frontage Rd
Merriam, KS 66204-1398
Phone: (913) 721-3387
Fax: (816) 875-2598
Show map & directions

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

Additional practice locations (3)

  • 9411 N Oak Trfy Ste 202, Kansas City, MO 64155-2262 — (816) 468-8820
  • 4880 Ne Goodview Cir, Lees Summit, MO 64064-1996 — (816) 478-4200
  • 2790 Clay Edwards Dr Ste 500, North Kansas City, MO 64116-3243 — (816) 994-0040

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2023034779 (MO)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 04-48159 (KS)
Otolaryngology Physician Taxonomy 207Y00000X · Licence A178079 (CA)
Otolaryngology/Facial Plastic Surgery Physician Taxonomy 207YX0905X · Licence 178079 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013361005
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2016
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address5101 College Blvd, Leawood, KS 66211-1614

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2016 (10 years in practice)
Group practice Ascentist Physicians Group Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Merriam