KYLE PHILLIP SELLERS
NPI 1134879364
Student in an Organized Health Care Education/Training Program in Boston, MA
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 and is a graduate of Florida International Univ, College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyle Phillip Sellers 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.
Medicare Billing Reassignment
Medicare enrollment records show Kyle Sellers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Belmont, MA 02478
- Reassigned Medicare billing, Massachusetts enrollment
- 422 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.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kyle Sellers's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Sellers reassigns Medicare benefits to The Mclean Hospital Corporation (Belmont, MA). The 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 Sellers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kyle Phillip Sellers · NPI 1134879364
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1134879364 (Entity type: Individual)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 15 PARKMAN ST # 815, Boston, MA 02114-3117
- **Phone:** (617) 726-9550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Mclean Hospital Corporation (NPI 1114979580, Belmont, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Florida International Univ, College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** March 29, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1134879364) · Data from the CMS NPPES public registry.