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

Mr. Kyle T Ginnaty, PA

Individual provider Physician Assistant · NPI 1194451377

Mr. Kyle T Ginnaty, PA is a Physician Assistant in Omaha, Nebraska. Qualified in 2023, 3 years ago. Practices with Coddington Medical Family Practice LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
3
Licensed in
NE
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7100 W Center Rd
Omaha, NE 68106-2714
Phone: (402) 506-9000
Fax: (402) 506-9093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3072 (NE)

Record details

NPI number1194451377
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 28, 2022
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Coddington Medical Family Practice Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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