Mary Kelleher, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD419172 Issued in PA

Practice address

838 Penn St
Reading, PA 19602-1108

Phone

(610) 988-4838

NPI assigned

May 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1104875491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021108",
            "telephone_number": "610-988-4838",
            "fax_number": "610-288-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021108",
            "telephone_number": "610-988-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD419172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000196925",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ramanpreet Kaur, PMHNP
• Sojeet Kaur, PHARMD
• Keehnkids
• Holly Beth Kegerise, B.A.
• Debra A Keim, MS, CCC-SLP
• Angela M Keller, LPC
• Tyler Michael Keller
• Kelli Schulthess LPC Counseling LLC
• Francis L Keltz
• Lentoya D Kemp, BA

• Family Medicine Physician in Reading, PA
• Providers in Reading, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.