Individual provider Active NPI

Kelly Michelle Rogers

  • Behavioral Neurology & Neuropsychiatry Physician
  • Boston, MA
National Provider Identifier
1679138101
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
1014432 Issued in MA
Practice address
75 Francis St
Boston, MA 02115-6110
Phone
(617) 732-5500
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 1014432 MA Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115-6110

Mailing address

5419 Carriage House CT
Fort Belvoir, VA 22060-2528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240403001637 MA Practitioner - Neurology 2769717198 Reassigns benefits to 1 organization
I20260221000650 WA Practitioner - Neurology 2769717198 Reassigns benefits to 1 organization
I20260224002742 OH Practitioner - Neurology 2769717198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Yale University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Remo Medical Group, P.a.Group PAC ID 9931540200, 3 clinicians

Practice addresses (Care Compare)

22722 29TH Dr SE
Suite 100
Bothell, WA 98021-4420
Phone (888) 651-3618

7055 Engle Rd
Building 6 601
Middleburg Heights, OH 44130-8403
Phone (415) 234-0897

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Feb 20, 2024 Accepting new patients
Remo Medical Group PA CurrentSince Jan 12, 2026 Accepting new patients
Remo Medical Group of California PC PastSince Jan 12, 2026 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

62 13th St
Charlestown, MA 02129
Phone (617) 724-4260

7055 Engle Rd
Middleburg Heights, OH 44130

1712 6th Ave
Ste 100
Tacoma, WA 98405
Phone (253) 318-9564

1908 Thomes Ave
Ste 12124
Cheyenne, WY 82001

1908 Thomes Ave
Ste 12123
Cheyenne, WY 82001

Interoperability endpoints

  • Direct secure messaging: krogers351143@direct.ynhh.org

Organizations & group practices 3

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 1

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": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1679138101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 CARRIAGE HOUSE CT",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KELLY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "MA",
            "license": "1014432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.