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

Individual provider Gastroenterology Physician · NPI 1063649531

Kyle D Staller, MD is a Gastroenterology in Boston, Massachusetts. Graduated from Harvard Medical School in 2009, 17 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
17
Trained at
Harvard Medical School
Licensed in
MA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Massachusetts General Hospital 55 Fruit St
Boston, MA 02114
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 249924 (MA)

Record details

NPI number1063649531
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2009
Last updated in NPPESMarch 6, 2015

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolHARVARD MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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