DR. KYLE PLANTE (MD, MPH) – Family Medicine Physician, NPI 1649807504

DR. KYLE PLANTE (MD, MPH) is a healthcare provider. based in Geneva, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD, MPH. They hold a License No. 322900 (NY). The NPI Number for DR. KYLE PLANTE (MD, MPH) is 1649807504

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE PLANTE (MD, MPH)
NPI
1649807504
Phone
(630) 208-3000
Address
300 RANDALL RD
Enumeration Date
23 March 2020
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
5991128241
Group Practice PAC ID
4688855844
Professional Enrollment ID
I20240424003330
Address ID
NY130884841LI5100XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

5,041 FAMILY PRACTICE in IL

Provider Addresses for DR. KYLE PLANTE (MD, MPH)

  • 300 RANDALL RD

    GENEVA, IL 601344200

    Phone: (630) 208-3000

    Type: Mailing

  • 251 E HURON ST

    CHICAGO, IL 606112908

    Phone: (630) 208-3000

    Type: Location

  • 5586 LEGIONNAIRE DR

    CICERO, NY 130393504

    Phone: (315) 699-2837

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($70).

Total Amount

$337

General + Research + Ownership

Payments

15

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240424003330IFamily PracticeNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60134)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688855844View full group profile
NameSpecialtyState
-NY
Family PracticeNY
Family PracticeNY
Physician AssistantNY
-NY
Nurse PractitionerNY
Cardiovascular Disease (Cardiology)NY
-NY
Physician AssistantFL
Nurse PractitionerNY

Reviews

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Frequently asked questions

How do I look up DR. KYLE PLANTE (MD, MPH) by NPI?
Use NPI 1649807504 when you need to reference DR. KYLE PLANTE (MD, MPH) in forms, claims, or directories.
Does this profile mean DR. KYLE PLANTE (MD, MPH) is currently active?
Yes — DR. KYLE PLANTE (MD, MPH) appears active in the national provider directory.
Can you summarize DR. KYLE PLANTE (MD, MPH)'s specialty in plain language?
Clinically, the directory lists DR. KYLE PLANTE (MD, MPH) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KYLE PLANTE (MD, MPH)?
The snapshot lists Geneva, Illinois for DR. KYLE PLANTE (MD, MPH); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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