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

Dr. Kyle Harrison Thibodeau, MD

Individual provider Emergency Medicine Physician · NPI 1285053827

Dr. Kyle Harrison Thibodeau, MD is an Emergency Medicine in Baltimore, Maryland. Qualified in 2014, 12 years ago. Practices with Northeast Texas Emergency Physicians PLLC, a 192-clinician group and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
12
Licensed in
CO, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 S Paca St Ste 200
Baltimore, MD 21201-1668
Phone: (410) 328-8025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence R4150 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence DR.0065421 (CO)

Record details

NPI number1285053827
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2014
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address110 S Paca St Ste 200, Baltimore, MD 21201-1668

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Northeast Texas Emergency Physicians Pllc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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