Individual provider Active NPI

E. Lynne Kelley, M.D.

  • Vascular Surgery Physician
  • Natick, MA
National Provider Identifier
1104863794
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
81069 Issued in MA
Practice address
1 Boston Scientific PL
Boston Scientific
Natick, MA 01760-1536
Phone
(508) 652-7490
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 81069 MA Primary

Addresses

Primary practice location

1 Boston Scientific PL
Boston Scientific
Natick, MA 01760-1536

Mailing address

1 Boston Scientific PL
Boston Scientific
Natick, MA 01760-1536
Phone (508) 652-7490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81069MAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. Past Accepting new patients
Jordan Physician Associates, Inc. Vascular Surgery Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104863794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOSTON SCIENTIFIC PL",
            "address_2": "BOSTON SCIENTIFIC",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601536",
            "telephone_number": "508-652-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON SCIENTIFIC PL",
            "address_2": "BOSTON SCIENTIFIC",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601536",
            "telephone_number": "508-652-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "E. LYNNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "81069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.