Active NPI
Natasha Kelly, M.D.
- Surgery Physician
- Ansonia, CT
National Provider Identifier
1699721787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD418990
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170120000401 | PA | Order and Referring Only - General Surgery | 4486936820 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015838 | MA | MD | Clinical Social Worker |
| 57235 | CT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Effective Healthcare Medical P.C. | Current | 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.
-
- Community Health Clinic/Center
- Ansonia, CT
- NPI 1447858394
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.