MR. KYLE F ROTONDO FNP-C
NPI 1629867973
Nurse Practitioner - Primary Care in Niles, MI

NPI Status: Active since May 03, 2025

Contact Information

1951 OAK ST
NILES, MI
ZIP 49120
Phone: (269) 262-4749
Fax: (269) 262-4739

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  • Individual
  • Male
  • Nurse Practitioner
  • Primary Care

About KYLE ROTONDO

This page provides the complete NPI Profile along with additional information for Kyle Rotondo, a provider established in Niles, Michigan with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1629867973 assigned on May 2025. The practitioner's primary taxonomy code is 363LP2300X with license number 4704401501 (MI). The provider is registered as an individual and his NPI record was last updated September 2025.

NPI
1629867973
Provider Name
MR. KYLE F ROTONDO FNP-C
Gender
Male
Entity Type
Individual
Location Address
1951 OAK ST NILES, MI 49120
Location Phone
(269) 262-4749
Location Fax
(269) 262-4739
Mailing Address
105 MOCCASIN ST BUCHANAN, MI 49107
Mailing Phone
(312) 813-6643
Mailing Fax
(269) 262-4739
Is Sole Proprietor?
No
Enumeration Date
05-03-2025
Last Update Date
09-04-2025
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A nurse practitioner (NP) like Kyle Rotondo is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704401501
License State
MI

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WE0003XNursing Service Providers

Registered Nurse
Emergency

4704401501 (MI)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629867973
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264916614914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 1 + 6 + 6 + 1 + 4 + 9 + 1 + 4 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1629867973 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215459235 JOHN MOURAD ZAKHARY MD
Individual
Family Medicine1951 OAK ST
NILES, MI 49120
(269) 262-4749
1013297159MR. KEVIN MICHAEL KLIPOWICZ PHARMD
Individual
Pharmacist1951 OAK ST
NILES, MI 49120
(269) 665-8900
1003215203 ELLIOT RICHARD ANDERSON PHARMD
Individual
Pharmacist1951 OAK ST
NILES, MI 49120
(269) 665-8900
1609303098DR. ALEXANDER SCHNEIDER DO
Individual
Family Medicine1951 OAK ST
NILES, MI 49120
(269) 262-4749
1780317958 BRANDON ZWICK
Individual
Physician Assistant1951 OAK ST
NILES, MI 49120
(269) 262-4749
1063635159 LORI ANN MICHELLE PARTEE LMSW
Individual
Social Worker (Clinical)1951 OAK ST
NILES, MI 49120
(269) 665-8800
1528709136 MELISSA BURPEE NP
Individual
Nurse Practitioner (Family)1951 OAK ST
NILES, MI 49120
(269) 262-4749
1043871254 MADISON RAE MICK DMD
Individual
Dentist (General Practice)1951 OAK ST
NILES, MI 49120
(269) 262-4749
1275995219 MATTHEW PAZDERKA
Individual
Family Medicine1951 OAK ST
NILES, MI 49120
(269) 262-4749
1477099935 STANLEY RUDER PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1951 OAK ST
NILES, MI 49120
(269) 262-4749
1144866310LAKELAND IMMEDIATE CARE CENTER
Organization
Pharmacy (Community/Retail Pharmacy)1951 OAK ST
NILES, MI 49120
(269) 262-4749
1447701008LAKELAND IMMEDIATE CARE CENTER
Organization
Clinic/Center (Dental)1951 OAK ST
NILES, MI 49120
(269) 262-4364
1760802912LAKELAND IMMEDIATE CARE CENTER
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1951 OAK ST
NILES, MI 49120
(269) 262-4749

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629867973, enumerated in the NPI registry as an "individual" on May 03, 2025

The provider is located at 1951 Oak St Niles, Mi 49120 and the phone number is (269) 262-4749

The provider's speciality is Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care

This NPI record was last updated on May 03, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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