Individual provider Active NPI

Michael Kullman, MD

  • Anesthesiology Physician
  • Mount Kisco, NY
National Provider Identifier
1083606958
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
186916 Issued in NY
Practice address
400 E Main St
Northern Westchester Hospital
Mount Kisco, NY 10549-3417
Phone
(914) 666-1691
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 186916 NY Primary

Addresses

Primary practice location

400 E Main St
Northern Westchester Hospital
Mount Kisco, NY 10549-3417

Mailing address

43 Kensico Dr
2ND Floor
Mount Kisco, NY 10549-1009
Phone (914) 666-8866

Other identifiers 1

IdentifierTypeStateIssuer
01662091MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100818000594 NY Practitioner - Anesthesiology 4183758774 Reassigns benefits to 2 organizations
I20200724002505 CT Practitioner - Anesthesiology 4183758774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York University Medical College - NLG, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1266 E Main St
Suite 700R
Stamford, CT 06902-3507
Phone (888) 589-8550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Singular Anesthesia Services, PLLC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Connecticut Anesthesia Partners LLC Anesthesiology CurrentSince Jun 7, 2023 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 28, 2020 Accepting new patients
Integrated Anesthesia Associates LLC Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Optum Medical Care, P.C. CurrentSince Aug 28, 2020 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Feb 6, 2019 Accepting new patients

Locations

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (860) 282-4128

1266 E Main St
Ste 700R
Stamford, CT 06902
Phone (203) 340-0911

1250 Waters Pl
Ste 1206
Bronx, NY 10461
Phone (718) 409-5454

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

34 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 244-6787

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

355 Kear St
Yorktown Hts, NY 10598
Phone (914) 962-5060

Philadelphia, PA 19195

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083606958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 KENSICO DR",
            "address_2": "2ND FLOOR",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491009",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "NORTHERN WESTCHESTER HOSPITAL",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-666-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULLMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "186916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01662091",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.