DR. KYLE WILLIAM MCLOUTH DO
NPI 1023699204
Student in an Organized Health Care Education/Training Program in Toledo, OH

Q: What is Kyle Mclouth's NPI number?

The NPI number for Kyle Mclouth is 1023699204. It was assigned to this individual provider in the NPPES registry on April 19, 2021.

Q: What is Kyle Mclouth's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Mclouth was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2021PECOS Enrolled

4235 SECOR RD, TOLEDO, OH 43623(419) 479-5529(419) 479-5479 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2026, Apr 7, 2026, Sep 23, 2024 and 1 more (4 updates tracked since 2021).

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About Dr. Kyle William Mclouth Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE WILLIAM MCLOUTH DO (NPI 1023699204) is an individual student in an organized health care education/training program in Toledo, Ohio, licensed in Michigan (5101028130) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Livonia, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2021).

NPPES Registry Identity

NPI1023699204

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KYLE WILLIAM MCLOUTHCredential: DO

Location Address4235 SECOR RDToledo, OH 43623-4299

Mailing Address4235 Secor Rd Fl Oh43623Toledo, OH 43623-4299 · (419) 479-5529

Phone(419) 479-5529

Fax(419) 479-5479

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2021

Enumeration DateApril 19, 2021

Last NPPES UpdateJune 15, 20264 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1023699204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 5101028130

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 34.018539 (OH)

4235 SECOR RD, Toledo, OH 43623

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Secondary Practice Location 1

Location 118302 Middlebelt RdLivonia, MI 48152-5007 · Phone (248) 478-1500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyle William Mclouth Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42602591

PECOS Enrollment IDI20260422000058

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE TOLEDO HOSPITAL

Clinic/Center (Urgent Care)

4235 SECOR RD, PROMEDICA URGENT CARE
TOLEDO, OH 43623

Lucas County (419) 720-3989

DR. SAPNA T REDDY MD

Internal Medicine (Gastroenterology)