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

Kelly Anne McCullagh, MD

Individual provider Pediatrics Physician · NPI 1568966984

Kelly Anne McCullagh, MD is a Pediatric Medicine in Bronx, New York. Graduated from Pennsylvania State University College of Medicine in 2018, 8 years ago. Licensed in Massachusetts and New York.

Years since qualifying
8
Trained at
Pennsylvania State University College of Medicine
Licensed in
MA, NY
In the registry since
2018
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

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 335225 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence 287047 (MA)

Record details

NPI number1568966984
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2018
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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