Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle E Gortat, PA-C

Individual provider Physician Assistant · NPI 1598304636

Kyle E Gortat, PA-C is a Physician Assistant in West Bloomfield, Michigan. Qualified in 2019, 7 years ago. Practices with Wellstreet Urgent Care of Michigan, a 127-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7125 Orchard Lake Rd Ste 100
West Bloomfield, MI 48322-3616
Phone: (248) 865-7444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1598304636
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 6, 2020
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing address7125 Orchard Lake Rd Ste 100, West Bloomfield, MI 48322-3616

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wellstreet Urgent Care Of Michigan — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in West Bloomfield