Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kyle Derouen, DO

Individual provider Emergency Medicine Physician · NPI 1306297585

Dr. Kyle Derouen, DO is an Emergency Medicine in Brooklyn, New York. Graduated from William Carey University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana, Missouri and North Dakota and 1 more.

Years since qualifying
10
Trained at
William Carey University College of Osteopathic Medicine
Licensed in
IL, IN, MO, ND, TX
In the registry since
2016
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

506 6th St
Brooklyn, NY 11215-3609
Phone: (718) 780-5040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence U7191 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036.149827 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 16554 (ND)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 02005651A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2019024515 (MO)

Record details

NPI number1306297585
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 28, 2016
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWILLIAM CAREY UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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