Erin Patricia Kelleher, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

290035 Issued in NY

Practice address

222 Westchester Ave Ste 202
White Plains, NY 10604-2926

Phone

(914) 761-1717

Fax

(914) 761-1711

NPI assigned

Apr 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erin.kelleher.1@32321.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Boston Children's Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  Medicare reassignment NPD
• Boston Childrens Health Physicians LLP

  dba Boston Childrens Health Physicians Pediatric Endocrinology Division

  • Clinical Medical Laboratory
  • Sleepy Hollow, NY
  • NPI 1588651079
  NPD
• Westchester Park Pediatrics

  • Pediatrics Physician
  • White Plains, NY
  • NPI 1497891139
  NPD (past)

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1275706160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVE STE 202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042926",
            "telephone_number": "914-761-1717",
            "fax_number": "914-761-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WESTCHESTER AVE STE 202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042926",
            "telephone_number": "914-761-1717",
            "fax_number": "914-761-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "ERIN",
        "middle_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME117482",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "290035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009949200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KB Homecare, Inc. (Visiting Angels)
• James Keating, M.D.
• John R Keeley, PHYSICIAN ASSISTANT
• Kerry A Keely, O.D.
• Catherine Burger Keith, C.N.M
• Therese Mary Kelleher, CRC
• Lizbeth Keller Jones, ACNP
• Carol Ann Kelly, FNP
• Erica Kelly, LPN
• Jennifer Lauren Kelly

• Pediatrics Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.