Kyle Petty, MD
NPI 1104310630 · Anesthesiology Physician · Evanston, IL
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyle Petty, MD is a Anesthesiology Physician provider in Evanston, IL (NPI 1104310630).
Provider details
- NPI number
- 1104310630
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036159935 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
148 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Procedure to Assess Heart Electrical Activity00537 | 23 | $275 |
| Insertion of Artery Tube for Blood Sampling Or Infusion Through Skin36620 | 21 | $46 |
| Anesthesia for Lens Surgery00142 | 19 | $81 |
| Injection of Anesthetic Agent And/Or Steroid Into Thigh Nerve (femoral Nerve)64447 | 17 | $63 |
| Anesthesia for Procedure on Heart and Large Blood Vessels00560 | 15 | $286 |
| Anesthesia for X-Ray Or Radiation Therapy01922 | 15 | $139 |
Practice location
Mailing address
Additional practice locations (1)
- 5841 S Maryland AveChicago, IL 60637-1443Phone: (773) 702-6842
Registry dates
- Enumerated
- 2018-06-18
- Last updated
- 2022-12-28
- Certified
- 2022-12-27
Frequently asked questions
- What is Kyle Petty's NPI number?
- Kyle Petty's National Provider Identifier (NPI) is 1104310630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyle Petty's specialty?
- Kyle Petty is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Kyle Petty located?
- Kyle Petty's practice location on file with NPPES is 2650 Ridge Ave., Evanston, IL 60201.
- What is Kyle Petty's phone number?
- The practice phone number listed in the NPPES registry for Kyle Petty is (847) 570-2760.
- Does Kyle Petty accept Medicare?
- Kyle Petty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyle Petty's NPI active?
- Yes — Kyle Petty's NPI (1104310630) is active in the NPPES registry as of the last update on 2022-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.