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 and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyle Alan Mccullough Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Kyle Mccullough accept?
Health plans from Blue Cross and Blue Shield of Texas 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 9 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 (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## 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.