NPIMap

Individual provider Active NPI

Stephen J. Kelly, M.D.

  • Orthopaedic Surgery Physician
  • Springfield, MA
National Provider Identifier
1851371108
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
223429 Issued in MA
Practice address
300 Birnie Ave
Suite 201
Springfield, MA 01107-1107
Phone
(413) 785-4666
Fax
(413) 846-4742
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 223429 MA Primary

Addresses

Primary practice location

300 Birnie Ave
Suite 201
Springfield, MA 01107-1107

Mailing address

300 Birnie Ave
Suite 201
Springfield, MA 01107-1107
Phone (413) 785-4666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000889 MA Practitioner - Orthopedic Surgery 2163450701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Hahnemann University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Birnie Ave
Suite 201
Springfield, MA 01107-1121
Phone (714) 785-4666

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement130
Knee replacement205

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New England Orthopedic Surgeons CurrentSince May 11, 2016 Accepting new patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Mar 1, 2024 Accepting new patients
New England Orthopedic Surgeons Orthopaedic Surgery CurrentSince May 11, 2016 Accepting new patients
Orthopaedic Associates of Portland, PA Orthopaedic Surgery Past Accepting new patients
Orthopaedic Clinical Assoc Inc. Past Accepting new patients
Baystate Medical Center Inc Past Accepting new patients
Orthopaedic Surgery Center Past Accepting new patients

Locations

265 Benton Dr
Ste 101
East Longmeadow, MA 01028
Phone (714) 785-4666

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

Organizations & group practices 8

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1851371108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071107",
            "telephone_number": "413-785-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIRNIE AVE",
            "address_2": "SUITE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071107",
            "telephone_number": "413-785-4666",
            "fax_number": "413-846-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "223429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.