Kyle J Mazellan, MD
Kyle J Mazellan, MD is a Physical Medicine and Rehabilitation in Indianapolis, Indiana. Graduated from Indiana University School of Medicine in 2014, 12 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 12
- Trained at
- Indiana University School of Medicine
- Licensed in
- IN
- 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.
Practice location Address checks out
Indianapolis, INNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 410 W 10th Ave, Columbus, OH 43210-1240 — (614) 293-3989
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 01080324A (IN) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1780002857 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 4, 2014 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | October 14, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2014 (12 years in practice) |
| Group practice | Community Physicians Of Indiana Inc — 1577 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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