Active NPI
Matthew R Kelley, AUD
- Audiologist
- Springfield, MA
National Provider Identifier
1205166642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 100 Wason
Suite 100
Springfield, MA 01107 - Phone
- (413) 732-7426
- Fax
- (413) 734-2371
- NPI assigned
- Jan 7, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
100 Wason
Suite 100
Springfield, MA 01107
Mailing address
100 Wason Avenue
Suite 100
Springfield, MA 01107
Phone (413) 732-7426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Wason Ave
Suite 100
Springfield, MA 01107-1179
Phone (413) 233-2052
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.45 of 100
- Quality
- 69.96
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 77.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- matthew.kelley.1@30149.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Springfield, MA
- NPI 1386685881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1205166642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WASON AVENUE",
"address_2": "SUITE 100",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01107",
"telephone_number": "413-732-7426",
"fax_number": "413-734-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WASON",
"address_2": "SUITE 100",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01107",
"telephone_number": "413-732-7426",
"fax_number": "413-734-2371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "MATTHEW",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-07",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.