KYLE WAYNE SUNDBLAD (DPM) – Podiatrist, NPI 1205813797

KYLE WAYNE SUNDBLAD (DPM) is a healthcare provider. based in Sterling heights, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901002053 (MI). The NPI Number for KYLE WAYNE SUNDBLAD (DPM) is 1205813797

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KYLE WAYNE SUNDBLAD (DPM)
NPI
1205813797
Phone
(586) 979-0560
Address
9001 15 MILE RD
Enumeration Date
27 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5867317873
Graduation Year
2001 (25 years ago)
PAC ID
9436128501
Group Practice PAC ID
1254614332
Professional Enrollment ID
I20040927000679
Address ID
MI483143751ST41400RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

753 PODIATRY in MI

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Provider Addresses for KYLE WAYNE SUNDBLAD (DPM)

  • 9001, 15 Mile Road, Sterling Heights, Macomb County, Michigan, 48312, United States

    SUITE A

    STERLING HEIGHTS, MI 483123611

    Phone: (586) 979-0560

    Fax: (586) 979-8766

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $1,403.

Total Amount is formed as General ($1,403) + Research ($0) + Ownership ($0) = $1,403.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Nevro Corp. ($484).

Total Amount

$1,403

General + Research + Ownership

Payments

21

Total payment records

General Amount

$1,403

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-09-27

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
I20040927000679IPodiatryMITBD

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
11721Removal of fingernails or toenails, 6 or more nails1,106343$0
J1100Injection, dexamethasone sodium phosphate, 1 mg80086$0
11056Removal of noncancer thickened skin growth, 2-4 growths562178$0
99212Established patient office or other outpatient visit, 10-19 minutes260177$0
99213Established patient office or other outpatient visit, 20-29 minutes225173$0
View full utilization report →

Insurance plans in this area (ZIP 48312)

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Provider's Procedures

KYLE WAYNE SUNDBLAD (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMI11042Removal of skin and tissue first 20 sq cm or less10024
PODIATRYMI11720Removal of tissue from 1 to 5 finger or toe nails6827
PODIATRYMI73630X-ray of foot, minimum of 3 views8861

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: 1254614332View full group profile
NameSpecialtyState
P O D I A T R YMI

Reviews

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Frequently asked questions

Can I cross-check KYLE WAYNE SUNDBLAD (DPM) using NPI 1205813797?
NPI 1205813797 belongs to KYLE WAYNE SUNDBLAD (DPM); compare other details if you need extra assurance.
Is KYLE WAYNE SUNDBLAD (DPM) still an active registrant?
KYLE WAYNE SUNDBLAD (DPM) carries an active NPI according to the public dataset.
What area of care is associated with KYLE WAYNE SUNDBLAD (DPM)?
KYLE WAYNE SUNDBLAD (DPM)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KYLE WAYNE SUNDBLAD (DPM)?
Travel planning: use Sterling Heights, Michigan as the reference point for KYLE WAYNE SUNDBLAD (DPM), then confirm.
When was this NPI issued?
Enumeration for KYLE WAYNE SUNDBLAD (DPM) is noted as December 27, 2005 where the registry provides it.

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