1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Orthopaedic Surgery
  6. NPI Profile

DR. KYLE ROBERT RANDALL MD
NPI 1154396364
Orthopaedic Surgery in Grand Rapids, MI

Active since February 21, 2006PECOS Enrolled
2911 KNAPP ST NE, SUITE A, GRAND RAPIDS, MI 49525(616) 451-9925(616) 328-5380 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kyle Robert Randall Md NPPES

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

DR. KYLE ROBERT RANDALL MD (NPI 1154396364) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301061642) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154396364
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KYLE ROBERT RANDALLCredential: MD
Location Address2911 KNAPP ST NE, SUITE AGrand Rapids, MI 49525
Mailing Address2911 Knapp St Ne, Suite AGrand Rapids, MI 49525 · (616) 451-9925 · Fax (616) 328-5380
Phone(616) 451-9925
Fax(616) 328-5380
Sole ProprietorYes
Enumeration DateFebruary 21, 2006
Last NPPES UpdateNovember 21, 2014
✔ NPI 1154396364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 4301061642
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2911 KNAPP ST NE, Grand Rapids, MI 49525
Open in Google Maps ↗

Other Identifiers 3

Medicare NSC6187090001MI
Medicaid4334872-10MI
Medicare UPING95718MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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 Robert Randall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

KARA JO SCHIPPER
Physical Therapist
2911 KNAPP ST NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 975-9078
ACHIEVE PHYSICAL THERAPY AND SPORTS REHAB, LLC
Physical Therapist
2911 KNAPP ST NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 975-9078
MR. JEROME DANIEL BRODERICK P.T.
Physical Therapist
2911 KNAPP ST NE, SUITE C
GRAND RAPIDS, MI 49525
Kent County (616) 975-9078
MICHIGAN ORTHOPAEDICS AND SPORTS MEDICINE, PC
Orthopaedic Surgery (Sports Medicine)
2911 KNAPP ST NE, SUITE A
GRAND RAPIDS, MI 49525
Kent County (616) 451-9925

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 Randall's NPI number?

The NPI number for Kyle Randall is 1154396364. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Kyle Randall located?

Kyle Randall practices at 2911 Knapp St NE Suite A, Grand Rapids, MI 49525. The listed phone number is (616) 451-9925.

What is Kyle Randall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kyle Randall enrolled in Medicare?

Yes. Kyle Randall is registered in the Medicare PECOS enrollment system.

What insurance does Kyle Randall accept?

Health plans from Priority Health list Kyle Randall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyle Randall was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.