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

Kyle Andrew Jisa, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1891285581

Kyle Andrew Jisa, MD is a Physical Medicine and Rehabilitation in Omaha, Nebraska. Qualified in 2018, 8 years ago. Practices with Integrated Rehab Consultants LLC, a 164-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nebraska.

Years since qualifying
8
Licensed in
NE
In the registry since
2018
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

2525 S 135th Ave
Omaha, NE 68144-2424
Phone: (702) 899-0595
Fax: (702) 977-1496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 34621 (NE)

Record details

NPI number1891285581
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2018
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025
Mailing addressPo Box 74008272, Chicago, IL 60674-8272

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Integrated Rehab Consultants Llc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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