Individual provider Active NPI

Robert E Kellan, M.D.

  • Ophthalmology Physician
  • Methuen, MA
National Provider Identifier
1386683381
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
29835 Issued in MA
Practice address
60 East St
Suite 1100
Methuen, MA 01844-4500
Phone
(978) 682-8661
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 29835 MA Primary

Addresses

Primary practice location

60 East St
Suite 1100
Methuen, MA 01844-4500

Mailing address

60 East St
Suite 1100
Methuen, MA 01844-4500
Phone (978) 682-8661

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050701000354 MA Practitioner - Ophthalmology 4880630672 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29835MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Laser Eye Institute, PC CurrentSince Jun 22, 2016 Accepting new patients

Locations

1101 Beacon St
Ste 6W
Brookline, MA 02446
Phone (617) 566-0062

1101 Beacon St
#6W
Brookline, MA 02446
Phone (617) 566-0062

24 Webster Pl
Brookline, MA 02445

1101 Beacon St
Ste 6
Brookline, MA 02446
Phone (617) 566-0062

25 Marston St
Ste 104
Lawrence, MA 01841
Phone (978) 685-5366

204 Worcester St
Wellesley Hls, MA 02481
Phone (617) 566-0062

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: robert.kellan.p1@direct.bostoneyegroup.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386683381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EAST ST",
            "address_2": "SUITE 1100",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444500",
            "telephone_number": "978-682-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAST ST",
            "address_2": "SUITE 1100",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444500",
            "telephone_number": "978-682-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAN",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "29835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.