DR. KYLE SPROULL (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1417577933

DR. KYLE SPROULL (M.D.) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 4301507907 (MI). The NPI Number for DR. KYLE SPROULL (M.D.) is 1417577933

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE SPROULL (M.D.)
NPI
1417577933
Phone
(616) 391-3245
Address
100 Michigan St NE Ste A501
Enumeration Date
24 April 2020
Last Update Date
3 February 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2317984866
Graduation Year
2020 (6 years ago)
PAC ID
3476977448
Group Practice PAC ID
4587576541
Professional Enrollment ID
I20240627002074
Address ID
MI494449739NO6425XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
ksproull101276@direct.covenanthealthcare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

565 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for DR. KYLE SPROULL (M.D.)

  • 100 Michigan St NE Ste A501

    Grand Rapids, MI 495032560

    Phone: (616) 391-3245

    Type: Location

  • 235 Wealthy St SE

    Grand Rapids, MI 495035247

    Phone: (616) 840-8000

    Type: Location

  • 100 MICHIGAN ST NE STE A501

    GRAND RAPIDS, MI 495032560

    Phone: (616) 391-3245

    Type: Mailing

  • 235 WEALTHY ST SE

    GRAND RAPIDS, MI 495035247

    Phone: (616) 840-8000

    Type: Mailing

  • 6425 HARVEY ST

    NORTON SHORES, MI 494449739

    Phone: (231) 798-4866

    Fax: (231) 798-6391

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($105).

Total Amount

$133

General + Research + Ownership

Payments

6

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2024-06-27

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
I20220915000459IInternal MedicineMITBD
I20240627002074IPhysical Medicine And RehabilitationMITBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes4949$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3434$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 4587576541View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeOK
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
Physical Medicine And RehabilitationMI
-MI
Physical Medicine And RehabilitationMI
Physical Therapist In Private PracticeMI
-MI

Reviews

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Frequently asked questions

What identifier follows DR. KYLE SPROULL (M.D.) across health systems?
The NPI 1417577933 uniquely identifies DR. KYLE SPROULL (M.D.) in U.S. healthcare data.
Does the public listing show DR. KYLE SPROULL (M.D.) as active?
DR. KYLE SPROULL (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. KYLE SPROULL (M.D.) does?
Insurance directories may phrase it differently, but here DR. KYLE SPROULL (M.D.) maps to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KYLE SPROULL (M.D.) in Grand Rapids, Michigan?
For routing, start with Grand Rapids, Michigan for DR. KYLE SPROULL (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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