KYLE WILLIAM BARTELT MD
NPI 1154959278
Student in an Organized Health Care Education/Training Program in Maywood, IL

Q: What is Kyle Bartelt's NPI number?

The NPI number for Kyle Bartelt is 1154959278. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Kyle Bartelt'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 Bartelt was last updated on July 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2020PECOS Enrolled

2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2022, Apr 1, 2020 (2 updates tracked since 2020).

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About Kyle William Bartelt Md NPPES

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

KYLE WILLIAM BARTELT MD (NPI 1154959278) is an individual student in an organized health care education/training program in Maywood, Illinois and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1154959278

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKYLE WILLIAM BARTELTCredential: MD

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2139 Schumacher DrNaperville, IL 60540-1911 · (630) 251-0109

Phone(888) 584-7888

Sole ProprietorNo

Enumeration DateApril 1, 2020

Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration

NPPES CertifiedJuly 5, 2022

✔ NPI 1154959278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code390200000X

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.

2160 S 1ST AVE, Maywood, IL 60153

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Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (312) 355-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle William Bartelt 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.

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