Active NPI
Daniel A. Kelleher, NP
- Nurse Practitioner
- Marlborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN267406
- Practice address
- 157 Union St
Department of Emergency Medicine
Marlborough, MA 01752-1228 - Phone
- (508) 421-1400
- Fax
- (508) 421-1490
- NPI assigned
- Oct 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN267406 | MA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | RN267406 | MA |
Addresses
Primary practice location
157 Union St
Department of Emergency Medicine
Marlborough, MA 01752-1228
Mailing address
22 Baker St
Foxboro, MA 02035-1902
Other practice location 1
235 North Pearl St
Brockton, MA 02301
Phone (508) 427-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110097151A | Medicaid | MA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1153 Centre St
Suite 5C
Jamaica Plain, MA 02130-3446
Phone (617) 522-9461
211 Park St
Attleboro, MA 02703-3143
Phone (508) 236-8110
235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000
Hospital & facility affiliations
- Good Samaritan Medical Center
- Sturdy Memorial Hospital
- Brigham and Women Faulkner Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Sturdy Health Inc | Current | Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Sturdy Health Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Sturdy Memorial Hospital Inc | Current | Accepting new patients | |
| Brigham and Women'S Faulkner Hospital, Inc | Current | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
100 Oneil Blvd
Attleboro, MA 02703
Phone (508) 342-1101
200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000
75 Francis St
Boston, MA 02115
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
2100 Dorchester Ave
#2214
Dorchester Center, MA 02124
Phone (617) 506-2840
2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222
1153 Centre St
Ste 5C
Jamaica Plain, MA 02130
Phone (617) 522-1734
1153 Centre St
#L1
Jamaica Plain, MA 02130
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
170 Draper Ave
North Attleboro, MA 02760
Phone (508) 695-2697
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
Interoperability endpoints
- dkelleher259766@direct.bmc.masshiway.net
- kelleher.daniel.fh@direct.partners.masshiway.net
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
- Orthopaedic Surgery Physician
- Jamaica Plain, MA
- NPI 1952382103
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1063866176
-
- Orthopaedic Surgery Physician
- Attleboro, MA
- NPI 1942359856
-
- Emergency Medicine Physician
- Ayer, MA
- NPI 1780971275
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
- General Acute Care Hospital
- Boston, MA
- NPI 1578677811
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1508166646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BAKER ST",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020351902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 UNION ST",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521228",
"telephone_number": "508-421-1400",
"fax_number": "508-421-1490"
}
],
"practiceLocations": [
{
"address_1": "235 North Pearl St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "02301",
"country_code": "US",
"telephone_number": "508-427-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEHER",
"first_name": "DANIEL",
"middle_name": "A.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-22",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN267406",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "RN267406",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110097151A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.