Kyle Wayne Sundblad, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901002053 Issued in MI

Practice address

9001 15 Mile Rd
Suite a
Sterling Heights, MI 48312-3611

Phone

(586) 979-0560

Fax

(586) 979-8766

NPI assigned

Dec 27, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Dr Kyle W Sundblad PCGroup PAC ID 1254614332, 2 clinicians

Dr Walter B Coleman PCGroup PAC ID 5395864946, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
• Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksundblad252820@direct.hfhs.org

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

• Dr Kyle W Sundblad PC

  • Podiatrist
  • Sterling Heights, MI
  • NPI 1053858217
  Medicare reassignment Care Compare group NPD Authorized official
• Dr. Walter B. Coleman PC

  • Foot & Ankle Surgery Podiatrist
  • Sterling Heights, MI
  • NPI 1205974425
  Medicare reassignment Care Compare group NPD
• Henry Ford Physician Partners

  • Internal Medicine Physician
  • Mount Clemens, MI
  • NPI 1427703602
  Medicare reassignment Care Compare group NPD
• Southfield Rehabilitation Company

  dba Surgeons Choice Medical Center

  • General Acute Care Hospital
  • Southfield, MI
  • NPI 1790785095
  Medicare reassignment NPD
• Henry Ford Macomb Ancillary Services

  • Clinical Medical Laboratory
  • Mount Clemens, MI
  • NPI 1669864708
  NPD
• Henry Ford Physician Partners

  dba Henry Ford Physician Partners - PCS

  • Cardiovascular Disease Physician
  • Dearborn, MI
  • NPI 1366219651
  NPD
• Limb Preservation Group, PLLC

  • Internal Medicine Physician
  • Sterling Heights, MI
  • NPI 1295223998
  NPD
• Southfield Rehabilitation Company

  dba Surgeons Choice Dearborn Center

  • Diagnostic Radiology Physician
  • Dearborn, MI
  • NPI 1285906792
  NPD
• Dr. Walter B Coleman P.C.

  • Durable Medical Equipment & Medical Supplies
  • Sterling Heights, MI
  • NPI 1598934952
  NPD (past)

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

• Henry Ford Health Macomb Oakland Hospital

  dba St. John Macomb Oakland Hospital-Warren Campus

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1124099858
  Care Compare affiliation
• Henry Ford Health Macomb Oakland Hospital

  dba St John Macomb Oakland - Oakland Center

  • General Acute Care Hospital
  • Madison Heights, MI
  • NPI 1215139233
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  dba Henry Ford Health Macomb Hospital

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205813797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD",
            "address_2": "SUITE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123611",
            "telephone_number": "586-979-0560",
            "fax_number": "586-979-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 15 MILE RD",
            "address_2": "SUITE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123611",
            "telephone_number": "586-979-0560",
            "fax_number": "586-979-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBLAD",
        "first_name": "KYLE",
        "middle_name": "WAYNE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4522531",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPIN (DME)",
            "identifier": "0621950001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5501004",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Jane Sullivan, CCC-SLP
• Tania Sultana
• Preslee Sultes
• Katherine M Summers, PTA
• Shobana Sundaram, M.D.
• Sundus Marogy DDS PLLC
• Sundus Marogy Hy LLC
• Sunrise Behavioral Health Service LLC (Blue Mind Care Sterling Heights Michigan)
• Sunrise Chiropractic PLLC
• Sunshine Pharmacy

• Podiatrist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.