KYLE ALAN MCCULLOUGH MD
NPI 1043743479
Student in an Organized Health Care Education/Training Program in Farmington, CT
About Kyle Alan Mccullough Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE ALAN MCCULLOUGH MD (NPI 1043743479) is an individual student in an organized health care education/training program in Farmington, Connecticut, licensed in Connecticut (81585) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle Alan Mccullough Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kyle Mccullough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75204
- Reassigned Medicare billing, Texas enrollment
- 124 clinicians in this Medicare group
Dallas, TX 75204
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Urgent Surgery Associates PA
- 120 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARMINGTON, CT 06030
FARMINGTON, CT 06030
FARMINGTON, CT 06030
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kyle Mccullough's NPI number?
The NPI number for Kyle Mccullough is 1043743479. It was assigned to this individual provider in the NPPES registry on April 4, 2017.
Where is Kyle Mccullough located?
Kyle Mccullough practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-1411.
What is Kyle Mccullough's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kyle Mccullough enrolled in Medicare?
Yes. Kyle Mccullough is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kyle Mccullough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Mccullough reassigns Medicare benefits to 2 organizations: North Texas Critical Care PA (Dallas, TX) and Urgent Surgery Associates, P.A. (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyle Mccullough accept?
Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Kyle Mccullough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kyle Mccullough was last updated on November 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kyle Alan Mccullough, MD · NPI 1043743479
Student in an Organized Health Care Education/Training Program provider in Farmington, Connecticut. Individual provider, active in the CMS NPPES registry since April 4, 2017.
## Identity
- **NPI:** 1043743479 (Entity type: Individual)
- **Enumerated:** April 4, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 81585 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 263 FARMINGTON AVE, Farmington, CT 06030-1921
- **Phone:** (860) 679-1411
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Texas Critical Care PA (NPI 1265863542, Dallas, TX); Urgent Surgery Associates, P.A. (NPI 1326077082, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043743479) · Data from the CMS NPPES public registry.