Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kyle R Gormezano, MD

Individual provider Diagnostic Radiology Physician · NPI 1225027592

Dr. Kyle R Gormezano, MD is a Diagnostic Radiology in Jupiter, Florida. Qualified in 1993, 33 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Illinois and Pennsylvania.

Years since qualifying
33
Licensed in
FL, IL, PA
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 Peacock Ln N
Jupiter, FL 33458-8333
Phone: (952) 595-1100
Fax: (612) 294-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 W Medical Center Dr, McHenry, IL 60050-8409 — (815) 334-5566

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME77760 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036138160 (IL)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence ME77760 (FL)
General Practice Physician Taxonomy 208D00000X · Licence MD455215 (PA)

Record details

NPI number1225027592
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2005
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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