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

Kyle Edward Antosiek, DO

Individual provider Gastroenterology Physician · NPI 1376926972

Kyle Edward Antosiek, DO is a Gastroenterology in Clinton Township, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2015, 11 years ago. Practices with Scope Medical Group PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

43475 Dalcoma Dr Ste 160
Clinton Township, MI 48038-3550
Phone: (248) 221-1845
Fax: (248) 308-5525
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 5101022121 (MI)

Record details

NPI number1376926972
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 1, 2015
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address43475 Dalcoma Dr Ste 160, Clinton Township, MI 48038-3550

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Scope Medical Group Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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