Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLIE PERREAULT DO
NPI 1396365425
Otolaryngology in Grand Rapids, MI

Active since April 18, 2020PECOS Enrolled
4069 LAKE DR SE STE 315, GRAND RAPIDS, MI 49546(616) 267-7758 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 21, 2026, May 7, 2025, Apr 4, 2023 and 1 more (4 updates tracked since 2020).

About Kylie Perreault Do NPPES

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

KYLIE PERREAULT DO (NPI 1396365425) is an individual otolaryngology provider in Grand Rapids, Michigan, licensed in Michigan (5101029486) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396365425
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameKYLIE PERREAULTCredential: DO
Location Address4069 LAKE DR SE STE 315Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Enumeration DateApril 18, 2020
Last NPPES UpdateSeptember 21, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1396365425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MI · 5101029486
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 5101029486 (MI)
4069 LAKE DR SE STE 315, Grand Rapids, MI 49546

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Perreault Do 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 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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 20

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

Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Internal Medicine (Geriatric Medicine)
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Nurse Practitioner
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546

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 Kylie Perreault's NPI number?

The NPI number for Kylie Perreault is 1396365425. It was assigned to this individual provider in the NPPES registry on April 18, 2020.

Where is Kylie Perreault located?

Kylie Perreault practices at 4069 Lake Dr SE Ste 315, Grand Rapids, MI 49546. The listed phone number is (616) 267-7758.

What is Kylie Perreault's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kylie Perreault enrolled in Medicare?

Yes. Kylie Perreault is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kylie Perreault was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.