NPIMap

Individual provider Active NPI

Neal Christopher Kelley

  • Cardiovascular Disease Physician
  • Woonsocket, RI
National Provider Identifier
1033150701
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD12066 Issued in RI
Practice address
68 Cumberland St
Suite 103
Woonsocket, RI 02895-3323
Phone
(401) 762-3838
Fax
(401) 762-8252
NPI assigned
Jun 10, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 040596 CT
Cardiovascular Disease Physician 207RC0000X MD12066 RI Primary

Addresses

Primary practice location

68 Cumberland St
Suite 103
Woonsocket, RI 02895-3323

Mailing address

68 Cumberland St
Suite 103
Woonsocket, RI 02895-3323
Phone (401) 762-3838

Other identifiers 1

IdentifierTypeStateIssuer
7058561MedicaidRI

Other names 1

  • Christopher Kelley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060719000150 RI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7113930033 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of New England PCGroup PAC ID 0547322273, 16 clinicians
Prospect Chartercare RWMC, LLCGroup PAC ID 0547492696, 66 clinicians

Practice addresses (Care Compare)

6 Blackstone Valley PL
Suite 105
Lincoln, RI 02865-1112
Phone 4014649751109

825 Chalkstone Ave
Providence, RI 02908-4728
Phone (401) 456-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting51
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040596CTMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chartercare Our Lady of Fatima Hospital Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Prospect Chartercare RWMC, LLC Current Accepting new patients
Prospect Chartercare RWMC, LLC Cardiovascular Disease CurrentSince Jun 1, 2014 Accepting new patients
Chartercare Our Lady of Fatima Hospital CurrentSince Aug 1, 2025 Accepting new patients
Cardiovascular Institute of New England PC Cardiovascular Disease CurrentSince Jan 1, 2009 Accepting new patients
Cedarz Medical and Cosmedics,Inc. Past Accepting new patients
Rhode Island Cardiovascular Group Cardiovascular Disease Past Accepting new patients
Prospect Chartercare Sjhsri, LLC Past Accepting new patients

Locations

395 Atwood Ave
Cranston, RI 02920
Phone (401) 464-9751

1539 Atwood Ave
Ste 304
Johnston, RI 02919
Phone (401) 351-2055

6 Blackstone Valley Pl
Ste 105
Lincoln, RI 02865
Phone (401) 464-9751

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

35 Wells St
Westerly, RI 02891
Phone (401) 596-0964

68 Cumberland St
Ste 103
Woonsocket, RI 02895
Phone (401) 762-3838

Interoperability endpoints

  • Direct secure messaging: neal.kelley.1@29128.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1033150701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "SUITE 103",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953323",
            "telephone_number": "401-762-3838",
            "fax_number": "401-762-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST",
            "address_2": "SUITE 103",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953323",
            "telephone_number": "401-762-3838",
            "fax_number": "401-762-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "NEAL",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "040596",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD12066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7058561",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "KELLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.