Individual provider Active NPI

Kyle Flattery, MD

  • Family Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1740803360
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD20023 Issued in RI
Practice address
21 Division St
Pawtucket, RI 02860-5352
Phone
(401) 727-4800
NPI assigned
May 19, 2020
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD20023 RI Primary
Family Medicine Physician 207Q00000X MD481703 PA

Addresses

Primary practice location

21 Division St
Pawtucket, RI 02860-5352

Mailing address

455 Toll Gate Road
PRC and Credentialing
Warwick, RI 02886
Phone (401) 273-0641

Other practice location 1

111 Brewster St
Pawtucket, RI 02860-4400
Phone (401) 729-2304

Other practice location 2

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Other practice location 3

3737 Market St
9th Fl
Philadelphia, PA 19104-5548
Phone (215) 662-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, RI2 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
I20230823000981 PA Practitioner - Family Practice 7517373343 Reassigns benefits to 2 organizations
I20240718000499 RI Practitioner - Family Practice 7517373343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC CurrentSince Aug 18, 2024 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
Trustees of the University of Pennsylvania Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Affinity Physicians LLC. Family Medicine Current Accepting new patients
University of Penn-Medical Group CurrentSince Aug 6, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 6, 2023 Accepting new patients
University of Penn-Medical Group PastSince Apr 1, 2024 Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S PastSince Apr 1, 2024 Accepting new patients

Locations

3400 Spruce St
Fl 6
Philadelphia, PA 19104
Phone (215) 615-0800

3701 Market St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-2250

3737 Market St
#9
Philadelphia, PA 19104
Phone (215) 294-9525

3737 Market St
Fl 9
Philadelphia, PA 19104
Phone (215) 294-9284

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Organizations & group practices 8

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1740803360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE ROAD",
            "address_2": "PRC AND CREDENTIALING",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-273-0641",
            "fax_number": "401-273-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 DIVISION ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605352",
            "telephone_number": "401-727-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Brewster St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028604400",
            "country_code": "US",
            "telephone_number": "401-729-2304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862759",
            "country_code": "US",
            "telephone_number": "401-737-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Market St",
            "address_2": "9th Fl",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045548",
            "country_code": "US",
            "telephone_number": "215-662-8777",
            "fax_number": "215-243-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLATTERY",
        "first_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD20023",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD481703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.