NPIMap

Individual provider Active NPI

Kyle D Kakac, MD

  • Family Medicine Physician
  • Franklin, TN
National Provider Identifier
1831297761
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41240 Issued in TN
Practice address
1416 Willowbrooke Cir
Franklin, TN 37069-7199
Phone
(615) 861-9466
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-116009 IL
Family Medicine Physician 207Q00000X 036116009 IL
Hospitalist Physician 208M00000X 036116009 IL
Family Medicine Physician 207Q00000X 41240 TN Primary
Emergency Medicine Physician 207P00000X 01057262 IN

Addresses

Primary practice location

1416 Willowbrooke Cir
Franklin, TN 37069-7199

Mailing address

1416 Willowbrooke Cir
Franklin, TN 37069-7199
Phone (156) 861-9466

Other practice location 1

303 NW 11th St
Fairfield, IL 62837-1203
Phone (618) 842-2611

Other identifiers 4

IdentifierTypeStateIssuer
200522020MedicaidIN
3932056OtherILBLUE SHIELD
1534607MedicaidTN
036116009-4MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071226000287 IL Practitioner - Family PracticePractitioner - Emergency Medicine 8921043050 Reassigns benefits to 5 organizations
I20160208000127 TN Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Internal Medicine 8921043050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nashwell, LLCGroup PAC ID 7214384676, 2 clinicians
Fairfield Memorial Hospital AssociationGroup PAC ID 5698671741, shared by 4 NPIs, 32 clinicians

Practice addresses (Care Compare)

1416 Willowbrooke Cir
Franklin, TN 37069-7199
Phone (615) 979-2282

213 NW 10TH St
Fairfield, IL 62837-1219

303 NW 11TH St
Fairfield, IL 62837-1203
Phone (618) 847-8346

Hospital & facility affiliations

  • Suncrest Home Health Home health agency, Nashville, TN, CCN 447403
  • Gentiva Hospice, Nashville, TN, CCN 441545
  • Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311
  • Tristar Southern Hills Medical Center Hospital, Nashville, TN, CCN 440197
  • Tristar Ashland City Medical Center Hospital, Ashland City, TN, CCN 440779
  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
  • Fairfield Memorial Hospital 1 Nursing home, CCN 14Z311
  • Fairfield Memorial Hospital Nursing home, Fairfield, IL, CCN 145552

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-116009ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Memorial Hospital Association Current Accepting new patients
Wabash General Hospital District CurrentSince Dec 1, 2025 Accepting new patients
Fairfield Memorial Hospital Association Family Medicine CurrentSince Nov 3, 2008 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Fairfield Memorial Hospital Association CurrentSince Nov 3, 2008 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Wabash General Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Feb 1, 2021 Accepting new patients
Nashwell, LLC Family Medicine CurrentSince Aug 16, 2023 Accepting new patients
Wabash General Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Wabash General Hospital District Past Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients
Mount Vernon Emergency Group PC Emergency Medicine Past Accepting new patients

Locations

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

303 NW 11th St
Fairfield, IL 62837
Phone (618) 842-2611

213 NW 10th St
Ste A
Fairfield, IL 62837
Phone (618) 842-4617

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

3001 Reserve Blvd
Spring Hill, TN 37174
Phone (931) 489-1100

Interoperability endpoints

  • Direct secure messaging: kkakac@yourcarecommunity.org
  • Direct secure messaging: kyle.kakac.1@28028.direct.athenahealth.com
  • Direct secure messaging: kkakac@direct.horizonhealthcare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4
  • Direct secure messaging: kyle.kakac.1@32444.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fairfield Memorial HospitalFairfield, IL, CCN 145552 Skilled nursing facility Adp of the SNF Jan 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 12

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1831297761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 WILLOWBROOKE CIR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370697199",
            "telephone_number": "156-861-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 WILLOWBROOKE CIR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370697199",
            "telephone_number": "615-861-9466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 NW 11th St",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "IL",
            "postal_code": "628371203",
            "country_code": "US",
            "telephone_number": "618-842-2611",
            "fax_number": "618-847-8386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKAC",
        "first_name": "KYLE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-116009",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036116009",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036116009",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "41240",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01057262",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200522020",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "3932056",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534607",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116009-4",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.