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KYLE PHILLIP SELLERS
NPI 1134879364
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 29, 2022PECOS Enrolled
15 PARKMAN ST # 815, BOSTON, MA 02114(617) 726-9550 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyle Phillip Sellers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE PHILLIP SELLERS (NPI 1134879364) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134879364
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE PHILLIP SELLERS
Location Address15 PARKMAN ST # 815Boston, MA 02114-3117
Mailing Address5541 Oak Hollow DrTitusville, FL 32780-7053 · (321) 607-2702
Phone(617) 726-9550
Sole ProprietorNo
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1134879364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
15 PARKMAN ST # 815, Boston, MA 02114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Phillip Sellers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THAO DO VY LE MD, PHD
Psychiatry & Neurology (Psychiatry)
15 PARKMAN ST # 815
BOSTON, MA 02114
Suffolk County (413) 461-5881
ALEXANDRA CHRISTINE PALMER MD
Student in an Organized Health Care Education/Training Program
15 PARKMAN ST # 815
BOSTON, MA 02114
Suffolk County (617) 726-9550
SEAN DAVID BOYDEN MD
Student in an Organized Health Care Education/Training Program
15 PARKMAN ST # 815
BOSTON, MA 02114
Suffolk County (617) 726-9550
JENNY GAN
Student in an Organized Health Care Education/Training Program
15 PARKMAN ST # 815
BOSTON, MA 02114
Suffolk County (617) 726-9550
MARIJA KAMCEVA MD
Student in an Organized Health Care Education/Training Program
15 PARKMAN ST # 815
BOSTON, MA 02114
Suffolk County (617) 726-9550
DR. MAHDI RAZAFSHA MD
Psychiatry & Neurology (Psychiatry)
15 PARKMAN ST # 815
BOSTON, MA 02114
Suffolk County (617) 724-5512
DR. DHANVINEY VERMA MD
Psychiatry & Neurology (Psychiatry)
15 PARKMAN ST # 815
BOSTON, MA 02114
Suffolk County (617) 724-5600
DR. BIOBELE BRAIDE MD
Student in an Organized Health Care Education/Training Program
15 PARKMAN ST # 815
BOSTON, MA 02114
Suffolk County (617) 726-9550

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 Sellers's NPI number?

The NPI number for Kyle Sellers is 1134879364. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Kyle Sellers located?

Kyle Sellers practices at 15 Parkman St # 815, Boston, MA 02114. The listed phone number is (617) 726-9550.

What is Kyle Sellers'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 Sellers enrolled in Medicare?

Yes. Kyle Sellers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kyle Sellers was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.