KYLE D KAKAC (MD) – Family Medicine Physician, NPI 1831297761

KYLE D KAKAC (MD) is a healthcare provider. based in Fairfield, Illinois. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036-116009 (IL). The NPI Number for KYLE D KAKAC (MD) is 1831297761

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
KYLE D KAKAC (MD)
NPI
1831297761
Phone
(618) 842-2611
Address
303 NW 11th St
Enumeration Date
21 September 2006
Last Update Date
10 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6188478346
Graduation Year
2001 (25 years ago)
PAC ID
8921043050
Group Practice PAC ID
5698671741
Professional Enrollment ID
I20160208000127
Address ID
IL628371203FA303XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience94
Completeness75
Years active:19State licenses:4Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for KYLE D KAKAC (MD)

  • 303 NW 11th St

    Fairfield, IL 628371203

    Phone: (618) 842-2611

    Fax: (618) 847-8386

    Type: Location

  • Fairfield Memorial Hospital, 303, Northwest 11th Street, Fairfield, Wayne County, Illinois, 62837, United States

    FAIRFIELD, IL 628371203

    Phone: (618) 847-8260

    Fax: (618) 847-8387

    Type: Mailing

  • 1416 WILLOWBROOKE CIR

    FRANKLIN, TN 370697199

    Phone: (615) 861-9466

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-01-03 • Largest payer in this snapshot: Novo Nordisk Inc ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$20
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: 2016-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20071226000287IFamily PracticeILTBD
I20160208000127IEmergency MedicineTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making8277$0
99283Emergency department visit with low level of medical decision making5451$0
99285Emergency department visit with high level of medical decision making2525$0
99282Emergency department visit with straightforward medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 62837)

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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: 5698671741View full group profile
NameSpecialtyState
Family PracticeIL
Physician AssistantIL
Certified Registered Nurse Anesthetist (Crna)IL
Family PracticeIL
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL
-IN
Clinical Social WorkerIL
Clinical Social WorkerIL
Nurse PractitionerIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How is KYLE D KAKAC (MD) identified in CMS data?
CMS-hosted NPPES data lists KYLE D KAKAC (MD) with NPI 1831297761.
Does CMS list KYLE D KAKAC (MD) as active?
Yes — KYLE D KAKAC (MD) is active in the NPI listing used on this page.
What is KYLE D KAKAC (MD)'s specialty?
The listing groups KYLE D KAKAC (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does KYLE D KAKAC (MD) serve?
KYLE D KAKAC (MD)'s listing highlights Fairfield, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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