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KYLE DAVID ROBERTSON D.O.
NPI 1336559004
Internal Medicine in Warren, MI

Active since May 05, 2014PECOS EnrolledAccepts Medicare Assignment
11885 E 12 MILE RD STE 300A, WARREN, MI 48093(586) 582-6630(586) 582-6631 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle David Robertson D.o. NPPES

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

KYLE DAVID ROBERTSON D.O. (NPI 1336559004) is an individual internal medicine provider in Warren, Michigan, licensed in Michigan (5101021064) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and is a graduate of Michigan State University College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1336559004
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKYLE DAVID ROBERTSONCredential: D.O.
Location Address11885 E 12 MILE RD STE 300AWarren, MI 48093-3467
Mailing Address11885 E 12 Mile Rd Ste 300aWarren, MI 48093-3467 · (586) 582-6630 · Fax (586) 582-6631
Phone(586) 582-6630
Fax(586) 582-6631
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2014
Enumeration DateMay 5, 2014
✔ NPI 1336559004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5101021064
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11885 E 12 MILE RD STE 300A, Warren, MI 48093
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Kyle David Robertson D.o. 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.

PECOS PAC ID3971806787
PECOS Enrollment IDI20200709000565
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
114 services113 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
98 services97 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
90 services88 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services22 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
26 services24 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Chippewa County War Memorial Hospital

Acute Care Hospitals · Sault Sainte Marie, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230239
Location500 Osborn BlvdSault Sainte Marie, MI 49783 · Chippewa County
Emergency services Birthing friendly

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
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 20

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

RACHEL MARIE KOCH D.O.
Internal Medicine
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
JON WHITMAN MACKEY D.O.
Internal Medicine
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
JOHN CHILDERS
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
PRACHI SHUKLA DO
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
THALHA AFRIDI DO
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
MISS CATHERINE JANE RAYMOND DO
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
JENNIFER MARIE RATHOUSKY D.O.
Internal Medicine
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630
DR. JUDY SHEFFEH MD
Student in an Organized Health Care Education/Training Program
11885 E 12 MILE RD STE 300A
WARREN, MI 48093
Macomb County (586) 582-6630

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 Robertson's NPI number?

The NPI number for Kyle Robertson is 1336559004. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Kyle Robertson located?

Kyle Robertson practices at 11885 E 12 Mile Rd Ste 300A, Warren, MI 48093. The listed phone number is (586) 582-6630.

What is Kyle Robertson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kyle Robertson enrolled in Medicare?

Yes. Kyle Robertson 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.

What insurance does Kyle Robertson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kyle Robertson 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.

Is Kyle Robertson affiliated with any hospitals?

According to CMS data, Kyle Robertson is affiliated with Mymichigan Medical Center Alpena, Mclaren Central Michigan, Mclaren Northern Michigan, Chippewa County War Memorial Hospital and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Robertson was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.