Active NPI
William Kelley, M.D.
- Anesthesiology Physician
- Bennington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0420010592
- 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.
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1104883511
-
- Family Medicine Physician
- Hampstead, NH
- NPI 1740379940
-
- Anesthesiology Physician
- Concord, NH
- NPI 1881791150
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1629074224
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- Anesthesiology Physician
- Middleton, MA
- NPI 1629583323
-
- Anatomic Pathology & Clinical Pathology Physician
- Manchester, NH
- NPI 1083157341
-
- Anesthesiology Physician
- Bennington, VT
- NPI 1689628786
NPD (past) Anesthesiology -
- Emergency Medicine Physician
- San Diego, CA
- NPI 1134339906
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 PLLCGreater Hampstead Family Medicine Inc
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15758 | NH | MD | Anesthesiology Physician |
| 0420010592 | VT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates Professional Association | Anesthesiology | Current | Accepting new patients |
| Greater Hampstead Family Medicine, Inc. | Anesthesiology | Current | Accepting new patients |
| Icon Anesthesia Services of New England LLC | Anesthesiology | Current | Accepting new patients |
| Catholic Medical Center | Anesthesiology | Current | Accepting new patients |
| Matrix Pathology and Laboratory Services PLLC | Current | Accepting new patients | |
| Amoskeag Anesthesia, PLLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Care Group PC | Anesthesiology | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 15758 | NH | |
| Anesthesiology Physician | 207L00000X | 0420010592 | VT | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009703 | Medicaid | VT | |
| P00048870 | Other | RAILROAD 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.