Active NPI
Kelli Gills
- Surgery Physician
- Boston, MA
National Provider Identifier
1154950780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1026304
- Practice address
- 110 Francis St Ste 3a
Boston, MA 02215-5501 - Phone
- (617) 632-9922
- Fax
- (617) 632-0886
- NPI assigned
- Apr 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1026304 | MA | Primary |
Addresses
Primary practice location
110 Francis St Ste 3a
Boston, MA 02215-5501
Mailing address
110 Francis St Ste 3a
Boston, MA 02215-5501
Phone (617) 632-9922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6832 | Other | GA | N/A |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Boston, MA 02241
PO Box
Suite 24520
New York, NY 10087-3720
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1154950780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 FRANCIS ST STE 3A",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155501",
"telephone_number": "617-632-9922",
"fax_number": "617-632-0886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 FRANCIS ST STE 3A",
"city": "BOSTON",
"state": "MA",
"postal_code": "022155501",
"telephone_number": "617-632-9922",
"fax_number": "617-632-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLS",
"first_name": "KELLI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-06",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "1026304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "6832",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "720 Westview Dr SW",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303101458",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.