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

Kyle Jackson, MD, PHD

Individual provider Surgery Physician · NPI 1164849352

Kyle Jackson, MD, PHD is a General Surgery in Philadelphia, Pennsylvania. Graduated from University of Pittsburgh School of Medicine in 2014, 12 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Trained at
University of Pittsburgh School of Medicine
Licensed in
PA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

3400 Spruce Street 4 Silverstein
Philadelphia, PA 10104-4206
Phone: (215) 615-4949
Fax: (215) 662-2244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD485481 (PA)

Record details

NPI number1164849352
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedMarch 25, 2014
Last updated in NPPESOctober 30, 2024
Certification dateOctober 25, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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