Adnan Kaleli MD, PC

Organization Active NPI Urology Physician · Quincy, MA

NPI 1891975892 · NPPES record last updated Nov 12, 2007

Key facts

NPI
1891975892
Entity type
Organization (NPI type 2)
Primary specialty
Urology Physician 208800000X
License
53276 (MA)
Legal business name
ADNAN KALELI MD, PC
Practice address
1147 Hancock St
Suite 205
Quincy, MA 02169-4343
Phone
(617) 472-7003
Fax
(617) 471-9910
NPI assigned
Nov 7, 2007
Organization subpart
No

Authorized official

Name
Dr. Adnan Kaleli, M.D. NPI 1437138716
Title
Owner
Phone
(617) 472-7003

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0078143Adnan Kaleli MD PC
1147 Hancock St, Quincy, MA 02169
Provider-performed microscopyDec 4, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071106000037 MA Part B Supplier - Clinic/Group Practice 3072600287 Receives reassigned benefits from 1 practitioner
Practice locations: Quincy, MA

National Provider Directory

Locations

1147 Hancock St
Ste 205
Quincy, MA 02169
Phone (617) 472-7003

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208800000X 53276 MA Yes

Addresses

Primary practice location

1147 Hancock St
Suite 205
Quincy, MA 02169-4343

Mailing address

1147 Hancock St
Suite 205
Quincy, MA 02169-4343
Phone (617) 472-7003

Other identifiers

IdentifierTypeStateIssuer
6180892MedicaidMA
M14913OtherMABLUE CROSS BLUE SHIELD

Other providers in Quincy, MA

All providers in Quincy, MA · Urology Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.