Individual provider Active NPI

John D. Kelley, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Branford, CT
National Provider Identifier
1821085085
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
32105 Issued in CT
Practice address
84 N Main St
Branford, CT 06405-3061
Phone
(203) 483-2509
Fax
(203) 483-2513
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 32105 CT
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 32105 CT Primary

Addresses

Primary practice location

84 N Main St
Branford, CT 06405-3061

Mailing address

2 Barnes Industrial Rd S
Wallingford, CT 06492-2486
Phone (203) 626-0160

Other practice location 1

235 Boston Post Rd
Orange, CT 06477-3229
Phone (203) 795-4784

Other practice location 2

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3535

Other practice location 3

450 Boston Post Rd
Guilford, CT 06437-2933
Phone (203) 453-6340

Other practice location 4

146 Samson Rock Dr
Madison, CT 06443-3018
Phone (203) 245-7447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20071010000616 CT Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8729996285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Medical College of Ohio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Orthopaedic Specialists PCGroup PAC ID 7315850039, 184 clinicians

Practice addresses (Care Compare)

450 Boston Post Rd
Guilford, CT 06437-2933
Phone (203) 453-0459

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
79.31
Promoting interoperability
100
Improvement activities
40
Cost
80.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Orthopaedic Specialists, PC Orthopaedic Surgery Current Accepting new patients
Connecticut Orthopaedic Specialists, PC CurrentSince Aug 1, 1992 Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients
Saint Raphael Healthcare System Affiliated Physicians Inc Past Accepting new patients

Locations

84 N Main St
Branford, CT 06405
Phone (203) 483-2015

84 N Main St
Bldg 2
Branford, CT 06405
Phone (203) 407-1500

84 N Main St
Ofc
Branford, CT 06405

12 Bokum Rd
Essex, CT 06426
Phone (860) 767-9035

450 Boston Post Rd
Guilford, CT 06437
Phone (203) 453-0361

450 Boston Post Rd
Ofc
Guilford, CT 06437

2408 Whitney Ave
Hamden, CT 06518
Phone (203) 407-3500

2416 Whitney Ave
Hamden, CT 06518
Phone (203) 248-4331

146 Samson Rock Dr
Madison, CT 06443
Phone (203) 245-7447

701 N Colony Rd
Wallingford, CT 06492
Phone (203) 265-1800

2 Barnes Industrial Rd S
Wallingford, CT 06492

Interoperability endpoints

  • Direct secure messaging: jkelley221157@xdr.hhchealthdirect.org
  • Direct secure messaging: jkelley@ctortho.gwaydirect.com

Organizations & group practices 4

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1821085085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BARNES INDUSTRIAL RD S",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922486",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053061",
            "telephone_number": "203-483-2509",
            "fax_number": "203-483-2513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064773229",
            "country_code": "US",
            "telephone_number": "203-795-4784",
            "fax_number": "203-799-1179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2408 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065183209",
            "country_code": "US",
            "telephone_number": "203-407-3535",
            "fax_number": "203-466-8589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064372933",
            "country_code": "US",
            "telephone_number": "203-453-6340",
            "fax_number": "203-458-9717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 Samson Rock Dr",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064433018",
            "country_code": "US",
            "telephone_number": "203-245-7447",
            "fax_number": "860-767-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOHN",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "32105",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CT",
            "license": "32105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.