Individual provider Active NPI

Daniel A. Kelleher, NP

  • Nurse Practitioner
  • Marlborough, MA
National Provider Identifier
1508166646
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN267406 Issued in MA
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

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110097151AMedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110922000705 MA Practitioner - Nurse Practitioner 7911178983 Reassigns benefits to 9 organizations

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
Orthopaedic Associates IncGroup PAC ID 4981632346, 5 clinicians
Sturdy Memorial Hospital IncGroup PAC ID 4981653789, 39 clinicians
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

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 Hospital, Brockton, MA, CCN 220111
  • Sturdy Memorial Hospital Hospital, Attleboro, MA, CCN 220008
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates Inc CurrentSince Mar 1, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 23, 2013 Accepting new patients
Sturdy Health Inc CurrentSince May 1, 2022 Accepting new patients
BMC Affiliated Physicians, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Sturdy Health Inc CurrentSince Mar 31, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 23, 2013 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jan 15, 2024 Accepting new patients
Sturdy Memorial Hospital Inc CurrentSince May 5, 2011 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

  • Direct secure messaging: dkelleher259766@direct.bmc.masshiway.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.