Individual provider Active NPI

Kelly J Ocallahan, M.D.

  • Gastroenterology Physician
  • Worcester, MA
National Provider Identifier
1427056795
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
159560 Issued in MA
Practice address
100 Central St
Floor 4
Worcester, MA 01608-1209
Phone
(508) 831-0708
Fax
(508) 831-0272
NPI assigned
Jul 12, 2005
Sex
Female
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
Gastroenterology Physician 207RG0100X 159560 MA Primary

Addresses

Primary practice location

100 Central St
Floor 4
Worcester, MA 01608-1209

Mailing address

100 Central St
Floor 4
Worcester, MA 01608-1209
Phone (508) 831-0708

Other identifiers 1

IdentifierTypeStateIssuer
3201601MedicaidMA

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
I20040511000166 MA Practitioner - Gastroenterology 0648269027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Massachusetts Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New England Gastroenterology Associates, PCGroup PAC ID 5698665388, 3 clinicians

Practice addresses (Care Compare)

328 Shrewsbury St
Suite 350
Worcester, MA 01604-4613

328 Shrewsbury St
Suite 350
Worcester, MA 01604-5465
Phone (508) 831-0708

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy278
Upper gastrointestinal (GI) endoscopy for acid reflux101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159560MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New England Gastroenterology Associates, PC Gastroenterology CurrentSince Sep 7, 1999 Accepting new patients

Locations

328 Shrewsbury St
Ste 350
Worcester, MA 01604
Phone (508) 831-0708

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHBBAA/Endpoint/HHBBAA

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427056795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTRAL ST",
            "address_2": "FLOOR 4",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "508-831-0708",
            "fax_number": "508-831-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTRAL ST",
            "address_2": "FLOOR 4",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081209",
            "telephone_number": "508-831-0708",
            "fax_number": "508-831-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCALLAHAN",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "159560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3201601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.