Individual provider Active NPI

Kyle McWilliams, DO

  • Vascular & Interventional Radiology Physician
  • Maywood, IL
National Provider Identifier
1083155055
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
OS22740 Issued in FL
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(260) 460-0514
NPI assigned
Mar 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 036.152528 IL
Vascular & Interventional Radiology Physician 2085R0204X OS22740 FL Primary

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (260) 460-0514

Other practice location 1

20201 Crawford Ave
Attn: Postdoctoral Education
Olympia Fields, IL 60461-1010
Phone (708) 747-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmcwilliams162384@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, MI, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220729002708 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0244500551 Reassigns benefits to 2 organizations
I20230720001663 IN Practitioner - Diagnostic Radiology 0244500551 Reassigns benefits to 3 organizations
I20240710002005 MI Practitioner - Diagnostic Radiology 0244500551 Reassigns benefits to 2 organizations
I20260128001880 FL Practitioner - Diagnostic Radiology 0244500551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1 Hurley PLZ
Flint, MI 48503-5902
Phone (219) 767-6320

10125 Glades Rd
Boca Raton, FL 33498-6739
Phone (904) 399-5550

10580 N Meridian St
Asv Heart Center of Indiana
Carmel, IN 46290-1028
Phone (317) 583-5000

1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 757-6320

13500 N Meridian St
Asv Carmel
Carmel, IN 46032-1456
Phone (317) 582-7000

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

1601 S Indiana Ave
Apt 505
Chicago, IL 60616-1343
Phone (219) 767-6320

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (219) 757-6320

3050 NE 164TH St
Miami, FL 33160-4131
Phone (904) 399-5550

5000 University Dr
Coral Gables, FL 33146-2008
Phone (904) 399-5550

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (904) 399-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
77.29
Improvement activities
40
Cost
73.88

Merit-based Incentive Payment System (MIPS)

Final score
85.81 of 100Reported as group
Quality
80.59
Promoting interoperability
100
Improvement activities
40
Cost
72.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS22740FLMDVascular & Interventional Radiology Physician
036.152528ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Vascular & Interventional Radiology CurrentSince Jun 21, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 26, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Loyola University Medical Center Current Accepting new patients
Breast Diagnostic Center, LLC CurrentSince Jul 18, 2023 Accepting new patients
Imaging Associates of Indiana, PC Vascular & Interventional Radiology CurrentSince Feb 26, 2023 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. Past Accepting new patients

Locations (25 of 36)

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

2101 Jackson St
Ste 116
Anderson, IN 46016
Phone (765) 646-8172

2020 Meridian St
Ste 150
Anderson, IN 46016
Phone (765) 646-8663

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

13250 Hazel Dell Pkwy
Ste 104
Carmel, IN 46033
Phone (317) 415-6117

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

13420 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 582-7474

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

13914 Southeastern Pkwy
Ste 101
Fishers, IN 46037
Phone (317) 338-9595

7199 Easy St
Fishers, IN 46038
Phone (317) 415-6110

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

3707 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 373-4000

1818 Carew St
Ste 30
Fort Wayne, IN 46805
Phone (260) 425-5900

2110 Carew St
Fort Wayne, IN 46805
Phone (219) 432-6710

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

8550 Naab Rd
Ste 110
Indianapolis, IN 46260
Phone (317) 338-2041

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

8050 Township Line Rd
Indianapolis, IN 46260
Phone (317) 338-2442

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1083155055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "260-460-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "260-460-0514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20201 Crawford Ave",
            "address_2": "Attn: Postdoctoral Education",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "708-747-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "KYLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036.152528",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "OS22740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcwilliams162384@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.