Kyle McDonald, D.O

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

5101024559 Issued in MI

Practice address

120 Marcell Dr NE Ste C
Rockford, MI 49341-1362

Phone

(616) 342-2295

Fax

(616) 342-2296

NPI assigned

Jun 20, 2016

Last updated

Sep 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Osteopathic Manipulative Medicine

Education

Michigan State University College of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benjamin J Visger DO PLLCGroup PAC ID 3173818341, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmcdonald2935021@direct.trinity-health.org

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.

• Benjamin J Visger DO PLLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Norton Shores, MI
  • NPI 1649634411
  Medicare reassignment Care Compare group NPD
• Michigan State University

  • Family Medicine Physician
  • East Lansing, MI
  • NPI 1861443269
  Medicare reassignment NPD
• Resilience Osteopathy

  • Neuromusculoskeletal Medicine & OMM Physician
  • Rockford, MI
  • NPI 1144146317
  Authorized official Same address or phone
• Michigan State University

  dba Michigan State University Extension

  • Local Education Agency (LEA)
  • East Lansing, MI
  • NPI 1184182982
  NPD
• Michigan State University

  • Pediatrics Physician
  • Okemos, MI
  • NPI 1326121179

  Neuromusculoskeletal Medicine & Omm

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1861842825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MARCELL DR NE STE C",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411362",
            "telephone_number": "616-342-2295",
            "fax_number": "616-342-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MARCELL DR NE STE C",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411362",
            "telephone_number": "616-342-2295",
            "fax_number": "616-342-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101024559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Manske, FNP-C
• Mark P. Brieden D.D.S., M.S., P.C. (Brieden Orthdontics)
• Molly Marie Marn, OTD, OTR/L
• Lauren Mast
• Allison McCracken, OTD, OTR/L
• Sandra Ann McDowell, RPH
• Jason William Meagrow, P.T.
• Meijer Inc (Meijer Pharmacy #226)
• Alyssia Metheny, BEHAVIOR TECHNICIAN
• Robert Craig Mette, D.D.S.

• Neuromusculoskeletal Medicine & OMM Physician in Rockford, MI
• Providers in Rockford, MI by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.

Verify at the official NPI Registry.