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

Kevin Michael McNulty, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134657109

Kevin Michael McNulty, DO is a Family Practice in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
Specialties on file
3
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Indianapolis, IN

No coordinates on file. Search this address in Google Maps

Additional practice locations (4)

  • 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237-8601 — (317) 528-8930
  • 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237-6399 — (317) 528-8921
  • 8414 Naab Rd, Indianapolis, IN 46260-1972 — (317) 338-7510
  • 8424 Naab Rd Bldg 1, Indianapolis, IN 46260-5918 — (317) 338-7780

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 02005673A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 02005673A (IN)

Record details

NPI number1134657109
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 2, 2017
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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