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DR. KELLY ANN KYANKO M.D.
NPI 1881879674
Internal Medicine in New Haven, CT

Active since December 31, 2007PECOS Enrolled
374 GRAND AVE, NEW HAVEN, CT 06513(203) 777-7411 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Ann Kyanko M.d. NPPES

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

DR. KELLY ANN KYANKO M.D. (NPI 1881879674) is an individual internal medicine provider in New Haven, Connecticut, licensed in Connecticut (047473) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881879674
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KELLY ANN KYANKOCredential: M.D.
Location Address374 GRAND AVENew Haven, CT 06513-3733
Mailing Address75 Henry St Apt 28cBrooklyn, NY 11201-1963
Phone(203) 777-7411
Sole ProprietorNo
Enumeration DateDecember 31, 2007
Last NPPES UpdateOctober 21, 2009
✔ NPI 1881879674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 047473✔ Licensed in NY · 246154
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
374 GRAND AVE, New Haven, CT 06513
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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)

Dr. Kelly Ann Kyanko M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. AGUSTINA FOUGERE MA LPC
Counselor (Professional)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
REBECCA A BUNNELL PA
Physician Assistant
374 GRAND AVE, FAIR HAVEN COMMUNITY HEALTH CENTER
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
DAIJSIA MELENA BUBB APRN
Nurse Practitioner (Family)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
SYDNEY HENCK LCSW
Social Worker (Clinical)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
ANASTASIA CAMPOS LMSW
Social Worker (Clinical)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
JOEL DANIEL NEWMAN BLUMAN MD
Family Medicine
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
MARK AUSTIN MS, NCC, LPC
Counselor (Professional)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411
RACHEL ROMERO APRN
Nurse Practitioner (Family)
374 GRAND AVE
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 777-7411

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 Kelly Kyanko's NPI number?

The NPI number for Kelly Kyanko is 1881879674. It was assigned to this individual provider in the NPPES registry on December 31, 2007.

Where is Kelly Kyanko located?

Kelly Kyanko practices at 374 Grand Ave, New Haven, CT 06513. The listed phone number is (203) 777-7411.

What is Kelly Kyanko's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kelly Kyanko enrolled in Medicare?

Yes. Kelly Kyanko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Kyanko was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.