Individual provider Active NPI

William Kelley, M.D.

  • Anesthesiology Physician
  • Bennington, VT
National Provider Identifier
1194772558
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0420010592 Issued in VT
Practice address
100 Hospital Dr
Anesthesia Department
Bennington, VT 05201-5004
Phone
(802) 447-5590
Fax
(802) 440-6099
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Boston University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amoskeag Anesthesia PLLC 165 clinicians
Greater Hampstead Family Medicine Inc 30 clinicians

Practice addresses (Care Compare)

11 Washington PL
Bedford, NH 03110-6747
Phone (603) 622-3670

207 Stage Rd
Hampstead, NH 03841-2224
Phone 6033295222216

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20121206000354 NH Practitioner - Anesthesiology 0244235984 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15758NHMDAnesthesiology Physician
0420010592VTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates Professional Association Anesthesiology CurrentSince Sep 1, 2019 Accepting new patients
Greater Hampstead Family Medicine, Inc. Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Icon Anesthesia Services of New England LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Catholic Medical Center Anesthesiology CurrentSince Nov 1, 2023 Accepting new patients
Matrix Pathology and Laboratory Services PLLC Current Accepting new patients
Amoskeag Anesthesia, PLLC Anesthesiology CurrentSince Feb 18, 2025 Accepting new patients
Anesthesia Care Group PC Anesthesiology CurrentSince Aug 1, 2012 Accepting new patients
Emergency and Acute Care Medical Company - Northeast, Inc. Past Accepting new patients
Anesthesiology Associates of Bennington Anesthesiology Past Accepting new patients

Locations

11 Washington Pl
Bedford, NH 03110
Phone (603) 622-3670

4 Hawthorne Dr
Bedford, NH 03110
Phone (603) 472-8888

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

116 Langley Pkwy
Concord, NH 03301
Phone (603) 228-7211

2 Pillsbury St
Ste 100
Concord, NH 03301
Phone (603) 224-2020

14 Tsienneto Rd
Ste 100
Derry, NH 03038
Phone (603) 425-6966

15 Tsienneto Rd
Ste 101
Derry, NH 03038

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

55 Bridge St
Manchester, NH 03101

100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

15 Riverside St
Nashua, NH 03062
Phone (603) 622-3670

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 15758 NH
Anesthesiology Physician 207L00000X 0420010592 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Hospital Dr
Anesthesia Department
Bennington, VT 05201-5004

Mailing address

PO Box 252
Lewiston, ME 04243-0252
Phone (800) 720-1664

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1009703MedicaidVT
P00048870OtherRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2022.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1194772558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 252",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042430252",
            "telephone_number": "800-720-1664",
            "fax_number": "207-753-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052015004",
            "telephone_number": "802-447-5590",
            "fax_number": "802-440-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NH",
            "license": "15758",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VT",
            "license": "0420010592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009703",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00048870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.