Individual provider Active NPI

Robert C Kelly, M.D.

  • Family Medicine Physician
  • Exeter, NH
National Provider Identifier
1336402452
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16913 Issued in NH
Practice address
21 Hampton Rd BLDG 32ND
Exeter, NH 03833-4831
Phone
(603) 775-0000
Fax
(603) 755-0247
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 16913 NH
Family Medicine Physician 207Q00000X 16913 NH Primary

Addresses

Primary practice location

21 Hampton Rd BLDG 32ND
Exeter, NH 03833-4831

Mailing address

20 Portsmouth Ave, Suite 1 #149
Stratham, NH 03885
Phone (978) 242-7799

Other practice location 1

57 Prospect St
Nantucket, MA 02554-2799
Phone (508) 825-1000

Other practice location 2

20 Portsmouth Ave Ste 1
Stratham, NH 03885
Phone (978) 242-7799

Other identifiers 1

IdentifierTypeStateIssuer
3102686MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160114001578 NH Practitioner - Family Practice 0749419620 Reassigns benefits to 1 organization
I20240131001861 MA Practitioner - Addiction MedicinePractitioner - Family Practice 0749419620 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Drexel University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physicians LLCGroup PAC ID 2769563253, 290 clinicians

Practice addresses (Care Compare)

3 Alumni Dr
Exeter, NH 03833-2123

5 Alumni Dr
Exeter, NH 03833-2128
Phone (603) 580-6457

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Cottage Hospital CurrentSince Dec 19, 2023 Accepting new patients
Nantucket Physicians Organization Family Medicine CurrentSince Dec 19, 2023 Accepting new patients
Nantucket Cottage Hospital CurrentSince Dec 19, 2023 Accepting new patients
Northeast Behavioral Health Corporation CurrentSince May 6, 2024 Accepting new patients
Core Physicians, LLC Family Medicine CurrentSince Jan 11, 2016 Accepting new patients
Core Physicians LLC CurrentSince Jan 11, 2016 Accepting new patients

Locations

199 Rosewood Dr
Ste 250
Danvers, MA 01923
Phone (978) 867-7756

12 Methuen St
Ste 3
Lawrence, MA 01840
Phone (978) 683-3128

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

7 Holland Way
#1
Exeter, NH 03833

21 Hampton Rd
Bldg 3
Exeter, NH 03833

21 Hampton Rd
Bldg 32ND
Exeter, NH 03833

5 Alumni Dr
Fl 2
Exeter, NH 03833
Phone (603) 580-7525

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

Interoperability endpoints

  • Direct secure messaging: rkelly474142@direct.bilh.masshiway.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1336402452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PORTSMOUTH AVE, SUITE 1 #149",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "03885",
            "telephone_number": "978-242-7799",
            "fax_number": "567-232-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HAMPTON RD BLDG 32ND",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334831",
            "telephone_number": "603-775-0000",
            "fax_number": "603-755-0247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Nantucket",
            "state": "MA",
            "postal_code": "025542799",
            "country_code": "US",
            "telephone_number": "508-825-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Portsmouth Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Stratham",
            "state": "NH",
            "postal_code": "03885",
            "country_code": "US",
            "telephone_number": "978-242-7799",
            "fax_number": "567-232-3241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NH",
            "license": "16913",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "16913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102686",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.