Individual provider Active NPI

Natasha Kelly, M.D.

  • Surgery Physician
  • Ansonia, CT
National Provider Identifier
1699721787
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD418990 Issued in PA
Practice address
445 Beaver St Apt A8
Ansonia, CT 06401-2054
Phone
(203) 954-9412
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 57235 CT
Surgery Physician 208600000X 1015838 MA
Surgery Physician 208600000X MD418990 PA Primary

Addresses

Primary practice location

445 Beaver St Apt A8
Ansonia, CT 06401-2054

Mailing address

445 Beaver Street
Apta8
Ansonia, CT 06401-2054
Phone (203) 954-9412

Other practice location 1

1 Boston Pl Ste 2600
Boston, MA 02108-4420
Phone (443) 842-4195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20170120000401 PA Order and Referring Only - General SurgeryPractitioner - General SurgeryPractitioner - General Practice 4486936820

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1015838MAMDClinical Social Worker
57235CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Effective Healthcare Medical P.C. CurrentSince Oct 19, 2020 Accepting new patients

Locations

445 Beaver St
#8
Ansonia, CT 06401
Phone (203) 954-9412

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1699721787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BEAVER STREET",
            "address_2": "APTA8",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012054",
            "telephone_number": "203-954-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BEAVER ST APT A8",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012054",
            "telephone_number": "203-954-9412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boston Pl Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021084420",
            "country_code": "US",
            "telephone_number": "443-842-4195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "NATASHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "57235",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "1015838",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD418990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

Verify at the official NPI Registry.