Organization Active NPI

Kyle Medical P.C

  • Internal Medicine Physician
  • Detorit, MI
National Provider Identifier
1184773855
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
WK020662 Issued in MI
Legal business name
KYLE MEDICAL P.C
Practice address
15101 W McNichols
Detorit, MI 48235-3716
Phone
(313) 838-4600
NPI assigned
Jan 10, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Kevin C Kyle, M.DNPI 1629077342
Title
Owner
Phone
(313) 383-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X KK051899 MI
Internal Medicine Physician 207R00000X WK020662 MI Primary
Pulmonary Function Technologist 225B00000X KK051899 MI

Addresses

Primary practice location

15101 W McNichols
Detorit, MI 48235-3716

Mailing address

15101 W McNichols
Detorit, MI 48235-3716
Phone (313) 838-4600

Other identifiers 2

IdentifierTypeStateIssuer
3522949MedicaidMI
4078271MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184773855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15101 W MCNICHOLS",
            "city": "DETORIT",
            "state": "MI",
            "postal_code": "482353716",
            "telephone_number": "313-838-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 W MCNICHOLS",
            "city": "DETORIT",
            "state": "MI",
            "postal_code": "482353716",
            "telephone_number": "313-838-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE MEDICAL P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-383-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "KK051899",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "WK020662",
            "primary": true
        },
        {
            "code": "225B00000X",
            "taxonomy_group": "",
            "desc": "Pulmonary Function Technologist",
            "state": "MI",
            "license": "KK051899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3522949",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4078271",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detorit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.