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KYLE SPRUTE MD
NPI 1841871779
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 21, 2021PECOS Enrolled
1441 N 12TH ST FL 2, PHOENIX, AZ 85006(602) 521-5969(602) 521-5987 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kyle Sprute Md NPPES

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

KYLE SPRUTE MD (NPI 1841871779) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841871779
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE SPRUTECredential: MD
Location Address1441 N 12TH ST FL 2Phoenix, AZ 85006-2837
Mailing Address2561 W Monterey AveMesa, AZ 85202-6920
Phone(602) 521-5969
Fax(602) 521-5987
Sole ProprietorNo
Enumeration DateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1841871779 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.

1441 N 12TH ST FL 2, Phoenix, AZ 85006
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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 Sprute 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.

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.

KARINA AVECHUCO FNP-BC
Nurse Practitioner (Family)
1441 N 12TH ST FL 2
PHOENIX, AZ 85006
Maricopa County (602) 462-0550
DR. KRESIMIRA MILAS MD
Surgery
1441 N 12TH ST FL 2
PHOENIX, AZ 85006
Maricopa County (602) 521-5969
MEGAN MARIE AYSON FLORES MS, RD
Dietitian, Registered
1441 N 12TH ST FL 2
PHOENIX, AZ 85006
Maricopa County (602) 521-3050
MARGARET A O'BRIEN R.D.
Dietitian, Registered
1441 N 12TH ST FL 2
PHOENIX, AZ 85006
Maricopa County (602) 521-5200
ROSEMARIE METZGER MD, MPH
Surgery
1441 N 12TH ST FL 2
PHOENIX, AZ 85006
Maricopa County (602) 521-5969
MACKENZIE LANDIN M.D.
Surgery
1441 N 12TH ST FL 2
PHOENIX, AZ 85006
Maricopa County (602) 521-3050
DR. RONG RONG GUO MD
Internal Medicine
1441 N 12TH ST FL 2
PHOENIX, AZ 85006
Maricopa County (602) 521-5200
RINKU SKARIA
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST FL 2
PHOENIX, AZ 85006
Maricopa County (602) 521-5969

Frequently Asked Questions

What is Kyle Sprute's NPI number?

The NPI number assigned to this healthcare provider is 1841871779, enumerated as an "individual" on April 21, 2021.

Where is the provider located?

The provider is located at 1441 N 12TH ST FL 2 PHOENIX, AZ 85006 and the phone number is (602) 521-5969.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.