Active NPI
Kyle Brodie Sarlls, PA-C
- Physician Assistant
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.01135
- Practice address
- 3665 N Broadway St
Chicago, IL 60613-4567 - Phone
- (903) 815-9309
- NPI assigned
- Mar 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.01135 | IL | Primary |
Addresses
Primary practice location
3665 N Broadway St
Chicago, IL 60613-4567
Mailing address
5635 N Wayne Ave Apt 3N
Chicago, IL 60660-0070
Phone (903) 815-9309
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 E Superior St
Suite 306
Chicago, IL 60611-2595
Phone (312) 754-9404
3665 N Broadway St
Chicago, IL 60613-4567
Phone (773) 496-4433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.01135 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Dana-Farber Cancer Institute, Inc. | Current | Accepting new patients | |
| Clarity Clinic PLLC | Physician Assistant | Current | Accepting new patients |
Locations
1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404
3665 N Broadway St
Chicago, IL 60613
Phone (773) 496-4433
450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063803856
Physician Assistant
-
- Special Hospital
- Boston, MA
- NPI 1346433257
-
- Durable Medical Equipment & Medical Supplies
- Chestnut Hill, MA
- NPI 1497429237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1417658097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5635 N WAYNE AVE APT 3N",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606600070",
"telephone_number": "903-815-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 N BROADWAY ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134567",
"telephone_number": "903-815-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARLLS",
"first_name": "KYLE",
"middle_name": "BRODIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-13",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.01135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.