DR. KYLE LEE PRIBYL (MD) – Anesthesiology Physician, NPI 1023696853

DR. KYLE LEE PRIBYL (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 79585 (MN). The NPI Number for DR. KYLE LEE PRIBYL (MD) is 1023696853

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. KYLE LEE PRIBYL (MD)
NPI
1023696853
Phone
(612) 237-3000
Address
420 DELAWARE ST SE
Enumeration Date
1 April 2021
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7638981000
Graduation Year
2021 (5 years ago)
PAC ID
9436674637
Group Practice PAC ID
7315986064
Professional Enrollment ID
I20250421001931
Address ID
MN553694730MA14500NXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

972 ANESTHESIOLOGY in MN

Provider Addresses for DR. KYLE LEE PRIBYL (MD)

  • 420 DELAWARE ST SE

    MINNEAPOLIS, MN 554550341

    Phone: (612) 237-3000

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-04-21

PECOS data refreshed: 2026-06-15

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
I20250421001931IAnesthesiologyMNTBD

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 55455)

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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: 7315986064View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YIA
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

What federal number belongs to DR. KYLE LEE PRIBYL (MD)?
The federal identifier for DR. KYLE LEE PRIBYL (MD) is NPI 1023696853.
Does this profile mean DR. KYLE LEE PRIBYL (MD) is currently active?
Yes — DR. KYLE LEE PRIBYL (MD) appears active in the national provider directory.
What does DR. KYLE LEE PRIBYL (MD) treat or focus on?
Patients typically see DR. KYLE LEE PRIBYL (MD) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. KYLE LEE PRIBYL (MD)?
The snapshot lists Minneapolis, Minnesota for DR. KYLE LEE PRIBYL (MD); 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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