Individual provider Active NPI

Kyle Bartol, DO

  • Cardiovascular Disease Physician
  • Joint Base Lewis McChord, WA
National Provider Identifier
1669854295
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1532 Issued in NE
Practice address
9040 Jackson Ave
Joint Base Lewis McChord, WA 98431-0001
Phone
(301) 295-4500
NPI assigned
Jun 19, 2015
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1532 NE Primary
Interventional Cardiology Physician 207RI0011X 1532 NE
Interventional Cardiology Physician 207RI0011X OP61598025 WA

Addresses

Primary practice location

9040 Jackson Ave
Joint Base Lewis McChord, WA 98431-0001

Mailing address

9040 Jackson Ave
Joint Base Lewis McChord, WA 98431-0001

Other practice location 1

501 N Graham St Ste 200
Portland, OR 97227-2000
Phone (503) 413-4710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250418001848 WA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6305260159 Reassigns benefits to 3 organizations
I20260218001984 OR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 6305260159 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians
Grays Harbor Community HospitalGroup PAC ID 3577462365, 91 clinicians

Practice addresses (Care Compare)

1950 NW Myhre Rd
Silverdale, WA 98383-7662
Phone (560) 240-4000

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1532NEMDChiropractor
OP61598025WAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Legacy Clinics LLC CurrentSince Dec 22, 2025 Accepting new patients
Franciscan Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Dec 22, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 16, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 16, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Dec 22, 2025 Accepting new patients
Grays Harbor Community Hospital CurrentSince May 13, 2025 Accepting new patients
Grays Harbor Community Hospital CurrentSince May 13, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Dec 22, 2025 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Dec 22, 2025 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

34509 9th Ave S
Federal Way, WA 98003
Phone (253) 944-4179

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

1950 NW Myhre Rd
Silverdale, WA 98383
Phone (560) 240-4000

1950 NW Myhre Rd
Fl 3
Silverdale, WA 98383
Phone (564) 240-4200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

2101 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 256-2640

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 15

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.

View all 15

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1669854295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984310001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984310001",
            "telephone_number": "301-295-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Graham St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272000",
            "country_code": "US",
            "telephone_number": "503-413-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTOL",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "1532",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NE",
            "license": "1532",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "OP61598025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joint Base Lewis McChord, WA

Sources for this page

Verify at the official NPI Registry.