Individual provider Active NPI

Kyle D. Bartos, PA-C

  • Physician Assistant
  • Rolling Meadows, IL
National Provider Identifier
1255095402
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085009595 Issued in IL
Practice address
5999 New Wilke Rd Ste 200
Rolling Meadows, IL 60008-4502
Phone
(847) 618-0800
Fax
(847) 228-1062
NPI assigned
Oct 25, 2021
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085009595 IL Primary

Addresses

Primary practice location

5999 New Wilke Rd Ste 200
Rolling Meadows, IL 60008-4502

Mailing address

5999 New Wilke Rd Ste 200
Rolling Meadows, IL 60008-4502
Phone (847) 618-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731001651 IL Practitioner - Physician Assistant 9739540386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

15 S McHenry Rd
Buffalo Grove, IL 60089-6705
Phone (847) 520-9424

2650 Ridge Ave
Evanston, IL 60201-1700

5999 New Wilke Rd
Suite 200
Rolling Meadows, IL 60008-4502
Phone (847) 618-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085009595ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 8, 2023 Accepting new patients
Cep America - Illinois, LLP CurrentSince Jul 18, 2023 Accepting new patients
Cepamerica Illinois LLP CurrentSince Jul 18, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

9532 Eagle Way
Chicago, IL 60678

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

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

5999 New Wilke Rd
Ste 200
Rolling Meadows, IL 60008
Phone (847) 255-7107

Interoperability endpoints

  • Direct secure messaging: kbartos160390@direct.nch.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1255095402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5999 NEW WILKE RD STE 200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084502",
            "telephone_number": "847-618-0800",
            "fax_number": "847-228-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 NEW WILKE RD STE 200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084502",
            "telephone_number": "847-618-0800",
            "fax_number": "847-228-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOS",
        "first_name": "KYLE",
        "middle_name": "D.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085009595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.