KYLE ITRI MD
NPI 1669058319
Radiology - Diagnostic Radiology in Edina, MN

Q: What is Kyle Itri's NPI number?

The NPI number for Kyle Itri is 1669058319. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Kyle Itri's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Itri was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since March 23, 2021PECOS Enrolled

3600 MINNESOTA DR STE 800, EDINA, MN 55435(952) 595-1100 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2026, Mar 23, 2021 (2 updates tracked since 2021).

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About Kyle Itri Md NPPES

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

KYLE ITRI MD (NPI 1669058319) is an individual diagnostic radiology provider in Edina, Minnesota, licensed in North Carolina (2025-00593) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669058319

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameKYLE ITRICredential: MD

Location Address3600 MINNESOTA DR STE 800Edina, MN 55435-7915

Mailing Address3600 Minnesota Dr Ste 800Edina, MN 55435-7915 · (952) 595-1100

Phone(952) 595-1100

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 23, 2021

Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1669058319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in NC · 2025-00593

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3600 MINNESOTA DR STE 800, Edina, MN 55435

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

PECOS PAC ID6709286867

PECOS Enrollment IDI20260611003097

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 55435 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

CHRISTOPHER CALIXTE MD

Radiology (Diagnostic Radiology)