DR. KYLE PETER MICHELSON MD
NPI 1073147468
Urology in Saint Louis Park, MN
About Dr. Kyle Peter Michelson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLE PETER MICHELSON MD (NPI 1073147468) is an individual urology provider in Saint Louis Park, Minnesota, licensed in California (A199841) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kyle Peter Michelson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kyle Michelson's NPI number?
The NPI number for Kyle Michelson is 1073147468. It was assigned to this individual provider in the NPPES registry on February 25, 2020.
Where is Kyle Michelson located?
Kyle Michelson practices at 5400 Excelsior Blvd, Saint Louis Park, MN 55416. The listed phone number is (952) 993-3190.
What is Kyle Michelson's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Kyle Michelson enrolled in Medicare?
Yes. Kyle Michelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kyle Michelson was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 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.
# Dr. Kyle Peter Michelson, MD · NPI 1073147468
Urology physician in Saint Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since February 25, 2020.
## Identity
- **NPI:** 1073147468 (Entity type: Individual)
- **Enumerated:** February 25, 2020
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** A199841 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5400 EXCELSIOR BLVD, Saint Louis Park, MN 55416-2913
- **Phone:** (952) 993-3190
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073147468) · Data from the CMS NPPES public registry.