KYLE ITRI MD
NPI 1669058319
Radiology - Diagnostic Radiology in Edina, MN
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle Itri Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Kyle Itri reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, North Carolina enrollment
- 18 clinicians in this Medicare group
Warren, PA 16365
- Reassigned Medicare billing, North Carolina enrollment
- 4 clinicians in this Medicare group
Pittsfield, MA 01201
- Reassigned Medicare billing, North Carolina enrollment
- 2 clinicians in this Medicare group
Pomona, CA 91769
- Reassigned Medicare billing, North Carolina enrollment
- 9 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, North Carolina enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
EDINA, MN 55435
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 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.
Where is Kyle Itri located?
Kyle Itri practices at 3600 Minnesota Dr Ste 800, Edina, MN 55435. The listed phone number is (952) 595-1100.
What is Kyle Itri's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kyle Itri enrolled in Medicare?
Yes. Kyle Itri is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kyle Itri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Itri reassigns Medicare benefits to 5 organizations: Virtual Radiologic Professionals, LLC (Edina, MN), Warren General Hospital (Warren, PA), Advanced Berkshire Medical Imaging, PC (Pittsfield, MA), Claremont Imaging Associates, A Medical Corporation (Pomona, CA) and Regents Of The University Of California (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Itri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Itri accept?
Health plans from Cigna Healthcare list Kyle Itri 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 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 9 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.
# Kyle Itri, MD · NPI 1669058319
Diagnostic Radiology physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1669058319 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 2025-00593 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3600 MINNESOTA DR STE 800, Edina, MN 55435-7915
- **Phone:** (952) 595-1100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Virtual Radiologic Professionals, LLC (NPI 1932342029, Edina, MN); Warren General Hospital (NPI 1811600307, Warren, PA); Advanced Berkshire Medical Imaging, PC (NPI 1588778807, Pittsfield, MA); Claremont Imaging Associates, A Medical Corporation (NPI 1619068921, Pomona, CA); Regents Of The University Of California (NPI 1558463927, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669058319) · Data from the CMS NPPES public registry.