Kyle Maxum
NPI 1225805211 · Physician Assistant · Fort Defiance, AZ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Maxum is a Physician Assistant provider in Fort Defiance, AZ (NPI 1225805211).
Provider details
- NPI number
- 1225805211
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
2 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-08
- Last updated
- 2024-11-12
- Certified
- 2024-11-08
Frequently asked questions
- What is Kyle Maxum's NPI number?
- Kyle Maxum's National Provider Identifier (NPI) is 1225805211, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Maxum's specialty?
- Kyle Maxum is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kyle Maxum located?
- Kyle Maxum's practice location on file with NPPES is Corner of Route N12 and N7, Fort Defiance, AZ 86504.
- What is Kyle Maxum's phone number?
- The practice phone number listed in the NPPES registry for Kyle Maxum is (928) 729-8000.
- Does Kyle Maxum accept Medicare?
- Kyle Maxum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Maxum's NPI active?
- Yes — Kyle Maxum's NPI (1225805211) is active in the NPPES registry as of the last update on 2024-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.