KYLE INNIS DANNENBERG
NPI 1902547623
Student in an Organized Health Care Education/Training Program in Sleepy Hollow, NY

Q: What is Kyle Dannenberg's NPI number?

The NPI number for Kyle Dannenberg is 1902547623. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Kyle Dannenberg'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 Dannenberg was last updated on April 5, 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.

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment

701 N BROADWAY, SLEEPY HOLLOW, NY 10591(914) 366-5353 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kyle Innis Dannenberg NPPES

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

KYLE INNIS DANNENBERG (NPI 1902547623) is an individual student in an organized health care education/training program in Sleepy Hollow, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Northern Westchester Hospital, and is a graduate of New York Medical College (2022).

NPPES Registry Identity

NPI1902547623

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKYLE INNIS DANNENBERG

Location Address701 N BROADWAYSleepy Hollow, NY 10591-1020

Mailing Address701 N BroadwaySleepy Hollow, NY 10591-1020

Phone(914) 366-5353

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2022

Enumeration DateApril 5, 2022

NPPES CertifiedApril 5, 2022

✔ NPI 1902547623 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.

701 N BROADWAY, Sleepy Hollow, NY 10591

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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 and accepts Medicare assignment

Kyle Innis Dannenberg 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 ID3870080583

PECOS Enrollment IDI20251016000455

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.

Hospital Affiliations CMS Care Compare

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

Northern Westchester Hospital

Acute Care Hospitals · Mount Kisco, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330162

Location400 East Main StreetMount Kisco, NY 10549 · Westchester County

Emergency services Birthing friendly

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.

MICHAEL M KYI MD

Emergency Medicine

701 N BROADWAY, PHELPS MEMORIAL HOSPITAL EMERGENCY DEPARTMENT
SLEEPY HOLLOW, NY 10591

Westchester County (914) 366-3590

PHELPS MEMORIAL HOSPITAL ASSOCIATION

Internal Medicine