Kevin T Kelly, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

220264 Issued in MA

Practice address

46 North St
Hyannis, MA 02601-3845

Phone

(508) 862-5680

Fax

(508) 862-7984

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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.

Enrollment records 1

Specialty

Pain ManagementAlso: Anesthesiology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
• Falmouth Hospital Hospital, Falmouth, MA, CCN 220135
• Spaulding Rehabilitation Hospital - Cape Cod Inpatient rehabilitation facility, East Sandwich, MA, CCN 223032

Merit-based Incentive Payment System (MIPS)

Final score

84.3 of 100Reported as group

Quality

71.45

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkelly14103@direct.capecodhealthcare.masshiway.net

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.

• Physicians of Cape Cod Hospital

  • Neuroradiology Physician
  • Hyannis, MA
  • NPI 1679832364
  Medicare reassignment Care Compare group NPD
• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • East Harwich, MA
  • NPI 1629165634
  Care Compare group
• Cape Cod Hospital Inc

  • General Acute Care Hospital
  • Hyannis, MA
  • NPI 1114984671
  NPD
• Medical Affiliates of Cape Cod, Inc.

  • Internal Medicine Physician
  • Hyannis, MA
  • NPI 1770534927
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cape Cod Hospital Inc

  • General Acute Care Hospital
  • Hyannis, MA
  • NPI 1114984671
  Care Compare affiliation
• Falmouth Hospital Association Inc

  • General Acute Care Hospital
  • Falmouth, MA
  • NPI 1336106806
  Care Compare affiliation
• Rehabilitation Hospital of the Cape and Islands, Corporation

  • Rehabilitation Hospital
  • E Sandwich, MA
  • NPI 1265489736

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1225024656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 NORTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013845",
            "telephone_number": "508-862-5680",
            "fax_number": "508-862-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NORTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013845",
            "telephone_number": "508-862-5680",
            "fax_number": "508-862-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KEVIN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MT",
            "license": "10523",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "220264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141154",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141154",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth E Kelly
• Debra J. Kelly, RN
• Elizabeth Kelly, MSW
• Jessica Anne Kelly, LCSW
• Kathleen Mary Kelly, LMHC
• Lois M Kelly, RN
• Mary-Jo Kelly
• Patricia Anne Kelly, OT
• Kevin Kennedy, DMD
• Mary Nora Kent, BA

• Pain Medicine (Anesthesiology) Physician in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Pain Medicine (Anesthesiology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.

Verify at the official NPI Registry.