Individual provider Active NPI

David R Kull, MD, MPH

  • Vascular Surgery Physician
  • Farmington, CT
National Provider Identifier
1235523648
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
082883 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-8063
Phone
(860) 679-8080
Fax
(860) 679-1430
NPI assigned
Mar 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 2023024276 MO
Vascular Surgery Physician 2086S0129X 082883 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-8063

Mailing address

263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-8080

Other practice location 1

21 South Road
Farmington, CT 06030-2483
Phone (860) 679-8080

Other practice location 2

507 E Main St
Torrington, CT 06790-5606
Phone (860) 679-8080

Other practice location 3

1 Royce Circle
Storrs, CT 06268-2270
Phone (860) 679-8080

Other practice location 4

2115 S Fremont Ave
Springfield, MO 65804-2239
Phone (417) 820-3912

Other practice location 5

836 Hopmeadow Street
Simsbury, CT 06070-1875
Phone (860) 679-8080

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address dkull91052@direct.med.uchc.edu Direct
Direct Messaging Address dkull91052@direct.med.uchc.edu Direct
Direct Messaging Address dkull91052@direct.med.uchc.edu Direct
Direct Messaging Address dkull91052@direct.med.uchc.edu Direct
Direct Messaging Address dkull91052@direct.med.uchc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, 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
I20230915002868 MO Practitioner - Vascular Surgery 8527372952 Reassigns benefits to 2 organizations
I20251014003134 CT Practitioner - Vascular Surgery 8527372952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Yale University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

2115 S Fremont Ave
5000 MC Vascular Surgery Springfield
Springfield, MO 65804-2230
Phone (417) 820-3912

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

940 W Mount Vernon St
110 MC Imaging Services Nixa
Nixa, MO 65714-9613
Phone (417) 724-5450

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023024276MOMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Sep 11, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 11, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 11, 2023 Accepting new patients
University of Connecticut Health Center CurrentSince Oct 8, 2025 Accepting new patients
Mercy Hospital Springfield Current Accepting new patients
University of Connecticut Health Center CurrentSince Oct 8, 2025 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Mercy Hospital Springfield Past Accepting new patients

Locations

21 South Rd
Farmington, CT 06032
Phone (860) 679-4600

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

836 Hopmeadow St
Simsbury, CT 06070
Phone (860) 651-3519

940 W Mount Vernon St
Ste 110
Nixa, MO 65714
Phone (417) 724-5220

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

2115 S Fremont Ave
Ste 5000
Springfield, MO 65804
Phone (417) 820-3912

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Springfield, MO 65804
Phone (417) 820-3912

Interoperability endpoints

  • Direct secure messaging: davidr.kull@xdr.hhchealthdirect.org

Organizations & group practices 9

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1235523648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "telephone_number": "860-679-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308063",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 South Road",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060302483",
            "country_code": "US",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 E Main St",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067905606",
            "country_code": "US",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Royce Circle",
            "address_purpose": "LOCATION",
            "city": "Storrs",
            "state": "CT",
            "postal_code": "062682270",
            "country_code": "US",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 S Fremont Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042239",
            "country_code": "US",
            "telephone_number": "417-820-3912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Hopmeadow Street",
            "address_purpose": "LOCATION",
            "city": "Simsbury",
            "state": "CT",
            "postal_code": "060701875",
            "country_code": "US",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULL",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2023024276",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "082883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkull91052@direct.med.uchc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21 South Road",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060302483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkull91052@direct.med.uchc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "836 Hopmeadow Street",
            "city": "Simsbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060701875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkull91052@direct.med.uchc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 Royce Circle",
            "city": "Storrs",
            "state": "CT",
            "country_code": "US",
            "postal_code": "062682270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkull91052@direct.med.uchc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "507 E Main St",
            "city": "Torrington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067905606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkull91052@direct.med.uchc.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "263 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060308063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.