Benson J Kelly, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

167356 Issued in NY

Practice address

412 State Route 37
Akwesasne, NY 13655-3109

Phone

(518) 358-3141

NPI assigned

Mar 27, 2006

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Tufts University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Regis Mohawk TribeGroup PAC ID 5799748547, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bkelly2@hiemail.healtheconnections.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Regis Mohawk Tribe

  dba St Regis Mohawk Health Services

  • Federally Qualified Health Center (FQHC)
  • Akwesasne, NY
  • NPI 1457344558
  Medicare reassignment Care Compare group NPD
• Alice Hyde Medical Center

  • General Practice Physician
  • Malone, NY
  • NPI 1568735660

  Family Medicine

  NPD (past)
• St Regis Mohawk Tribe

  dba Partridge House

  • Substance Abuse Rehabilitation Facility
  • Akwesasne, NY
  • NPI 1659521052
  NPD (past)

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1487614020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 STATE ROUTE 37",
            "city": "AKWESASNE",
            "state": "NY",
            "postal_code": "136553109",
            "telephone_number": "518-358-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 STATE ROUTE 37",
            "city": "AKWESASNE",
            "state": "NY",
            "postal_code": "136553109",
            "telephone_number": "518-358-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BENSON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "167356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marie Cook, MHC
• Beverly H Cook, FNP
• Cynthia Dupont, LMSW
• Deborah A Fent, RDH
• Barbara George, OPTICIAN
• Gerald Roger Lauzon, DO
• Tanya Lockwood, RN
• Mohawk Council of Akwesasne
• Anita M. Plann, MPC
• Thomas Albert Saxby

• Family Medicine Physician in Akwesasne, NY
• Providers in Akwesasne, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.