Active NPI
Thornton Kell Jr., MD
- Diagnostic Radiology Physician
- Needham, MA
National Provider Identifier
1407807613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036452
- Practice address
- 1107 Webster St
Needham, MA 02492-3237 - Phone
- (781) 444-8046
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036452 | MA | Primary |
Addresses
Primary practice location
1107 Webster St
Needham, MA 02492-3237
Mailing address
1107 Webster St
Needham, MA 02492-3237
Phone (781) 444-8046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2023555 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036452 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bih Radiologic Foundation Inc | Diagnostic Radiology | Past | Accepting new patients |
| Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce | Diagnostic Radiology | Past | Accepting new patients |
| Cambridge Public Health Commission | Past | Accepting new patients | |
| Harvardmedicalfacultyphysicians at Bethisraeldeaconessmedicalcenter in | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Body Imaging Physician
- Boston, MA
- NPI 1275574899
Diagnostic Radiology
-
- Surgery Physician
- Boston, MA
- NPI 1114967791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1407807613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 WEBSTER ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024923237",
"telephone_number": "781-444-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 WEBSTER ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024923237",
"telephone_number": "781-444-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELL",
"first_name": "THORNTON",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "036452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2023555",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.