Active NPI
Barry Dana Kels, M.D.
- Specialist
- Hartford, CT
National Provider Identifier
1558394874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 021553
- Practice address
- 19 Woodland St
Suite 41
Hartford, CT 06105-2372 - Phone
- (860) 249-2020
- Fax
- (860) 246-7549
- NPI assigned
- Jul 9, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 021553 | CT | Primary |
| Ophthalmology Physician | 207W00000X | 021553 | CT |
Addresses
Primary practice location
19 Woodland St
Suite 41
Hartford, CT 06105-2372
Mailing address
19 Woodland St
Suite 41
Hartford, CT 06105-2372
Phone (860) 249-2020
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010021553CT01 | Other | CT | BC/BS PROVIDER ID |
| 83840 | Other | CT | AETNA PROVIDER ID |
| 0S2291 | Other | CT | HEALTH NET PROVIDER ID |
| 079001 | Other | CT | CONNECTICARE PROVIDER ID |
| HAS281 | Other | CT | OXFORD PROVIDER ID |
| 001215532 | Medicaid | CT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1558394874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WOODLAND ST",
"address_2": "SUITE 41",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052372",
"telephone_number": "860-249-2020",
"fax_number": "860-246-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WOODLAND ST",
"address_2": "SUITE 41",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052372",
"telephone_number": "860-249-2020",
"fax_number": "860-246-7549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELS",
"first_name": "BARRY",
"middle_name": "DANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "021553",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "021553",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER ID",
"identifier": "010021553CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "83840",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET PROVIDER ID",
"identifier": "0S2291",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE PROVIDER ID",
"identifier": "079001",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER ID",
"identifier": "HAS281",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001215532",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.