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DR. KYLE ANTHONY MARYAN MD
NPI 1639813645
Anesthesiology in Saint Louis, MO

Active since April 25, 2022PECOS EnrolledAccepts Medicare Assignment
10010 KENNERLY RD, SAINT LOUIS, MO 63128(314) 525-1000(636) 386-7810 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2026, Jul 26, 2026, Apr 25, 2022 (3 updates tracked since 2022).

About Dr. Kyle Anthony Maryan Md NPPES

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

DR. KYLE ANTHONY MARYAN MD (NPI 1639813645) is an individual anesthesiology provider in Saint Louis, Missouri, licensed in Missouri (2024036037) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639813645
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. KYLE ANTHONY MARYANCredential: MD
Location Address10010 KENNERLY RDSaint Louis, MO 63128-2106
Mailing AddressPo Box 22407Saint Louis, MO 63126-0407 · (636) 386-7222 · Fax (636) 386-7810
Phone(314) 525-1000
Fax(636) 386-7810
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2022
Enumeration DateApril 25, 2022
Last NPPES UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1639813645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MO · 2024036037
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
10010 KENNERLY RD, Saint Louis, MO 63128
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Secondary Practice Locations 2

Location 11 Barnes Jewish Hospital PlzSaint Louis, MO 63110-1003 · Phone (314) 273-7806
Location 212345 W Bend DrSaint Louis, MO 63128-2182 · Phone (314) 722-2530 · Fax (636) 386-7810

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

Dr. Kyle Anthony Maryan 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.

PECOS PAC ID1759847692
PECOS Enrollment IDI20260730002589
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.

Medicare Billing Reassignment

Medicare enrollment records show Kyle Maryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South County Anesthesia Associates, Ltd.
0.1 mi
Anesthesiology
10010 KENNERLY RD
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • 106 clinicians in this Medicare group
NPI 1821031659 (636) 386-7222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

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.

JEREMY STEPHEN COLYER AA
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (636) 386-7222
REHABILITATION MEDICINE SPECIALISTS, INC.
Physical Medicine & Rehabilitation
10010 KENNERLY RD, 4TH FLOOR - ACUTE REHAB
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4522
DR. MICHAEL D. BAZZANI M.D.
Radiology (Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1165
DR. YUNHONG ZHANG MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1000
REBECCA SUSAN HOPKINS R.D., L.D.
Dietitian, Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1266
RAHUL GUPTA MD
Emergency Medicine
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1906
YIFU F ZHU AA
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1000
LADONNA L DARKS CRNA
Nurse Anesthetist, Certified Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (636) 386-7222

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 Maryan's NPI number?

The NPI number for Kyle Maryan is 1639813645. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Kyle Maryan located?

Kyle Maryan practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 525-1000.

What is Kyle Maryan's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kyle Maryan enrolled in Medicare?

Yes. Kyle Maryan 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 Maryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Maryan reassigns Medicare benefits to South County Anesthesia Associates, Ltd. (Saint Louis, MO). 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 Maryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kyle Maryan affiliated with any hospitals?

According to CMS data, Kyle Maryan is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Kyle Maryan was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.