Individual provider Active NPI

Kyle Patrick Doran, DO

  • Emergency Medicine Physician
  • Lansing, MI
National Provider Identifier
1386265452
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101027363 Issued in MI
Practice address
Sparrow Health System
1215 E Michigan Avenue
Lansing, MI 48912
Phone
(517) 364-2583
NPI assigned
Apr 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5151014295 MI
Emergency Medicine Physician 207P00000X 5101027363 MI Primary

Addresses

Primary practice location

Sparrow Health System
1215 E Michigan Avenue
Lansing, MI 48912

Mailing address

23521 Norwood St
Oak Park, MI 48237-2284
Phone (231) 357-1910

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230520000295 MI Practitioner - Emergency Medicine 5092171868 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians
Caberfae Emergency Group PCGroup PAC ID 4082069232, 39 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

Hospital & facility affiliations

  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5151014295MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawk Emergency Group, P.C. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Sparrow Carson Hospital Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Nov 1, 2023 Accepting new patients
Sparrow Carson Hospital CurrentSince Jul 1, 2023 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684022400000",
    "number": "1386265452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 NORWOOD ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372284",
            "telephone_number": "231-357-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SPARROW HEALTH SYSTEM",
            "address_2": "1215 E MICHIGAN AVENUE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48912",
            "telephone_number": "517-364-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "KYLE",
        "middle_name": "PATRICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5151014295",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101027363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.