KYLE MACCRAE GORMAN MD
NPI 1548108467
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Kyle Gorman's NPI number?

The NPI number for Kyle Gorman is 1548108467. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Q: What is Kyle Gorman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Gorman was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 23, 2026PECOS Enrolled

1 BOSTON MEDICAL CTR PL STE 1, BOSTON, MA 02118(617) 638-8000 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Kyle Maccrae Gorman Md NPPES

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

KYLE MACCRAE GORMAN MD (NPI 1548108467) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548108467

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKYLE MACCRAE GORMANCredential: MD

Location Address1 BOSTON MEDICAL CTR PL STE 1Boston, MA 02118-2999

Mailing Address1 Boston Medical Ctr Pl Ste 1Boston, MA 02118-2999 · (617) 638-8000

Phone(617) 638-8000

Sole ProprietorNo

Enumeration DateMarch 23, 2026

NPPES CertifiedMarch 23, 2026

✔ NPI 1548108467 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.

1 BOSTON MEDICAL CTR PL STE 1, Boston, MA 02118

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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 Maccrae Gorman Md 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 20

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

BENJAMIN GREBBER

Pediatrics