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.
- Title
- Owner
- Phone
- (617) 472-7003
Practitioners 1
-
Adnan Kaleli, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0078143 | Adnan Kaleli MD PC | Provider-performed microscopy | Dec 4, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6180892 | Medicaid | MA | |
| M14913 | Other | MA | BLUE CROSS BLUE SHIELD |
Other providers in Quincy, MA
- Ivana Adamov
- Adams Medical Associates
- Adams Street Dermatology Assoc, PC
- Rebecca Adams
- Walter Onuorah Adichie
- Adam Segueni Adnane
- Delphine Kotia Adou
- Advance Eye Center, Inc.
- Advanced Dental Arts
- Advanced Dental Care of Quincy PC
All providers in Quincy, MA · Urology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.