NPIMap

Individual provider Active NPI

Robert F Kelliher, MD

  • Internal Medicine Physician
  • Walpole, MA
National Provider Identifier
1962495010
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
56877 Issued in MA
Practice address
844 Main Street
Walpole, MA 02081
Phone
(508) 668-4555
Fax
(508) 668-9062
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 56877 MA Primary
Gastroenterology Physician 207RG0100X 56877 MA

Addresses

Primary practice location

844 Main Street
Walpole, MA 02081

Mailing address

844 Main St
Walpole, MA 02081-2954
Phone (508) 668-4555

Other identifiers 1

IdentifierTypeStateIssuer
3013677MedicaidMA

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
I20050404000015 MA Practitioner - Internal MedicinePractitioner - Gastroenterology 0042267924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Boston University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert F Kelliher MDGroup PAC ID 3476597766, 2 clinicians

Practice addresses (Care Compare)

844 Main St
Walpole, MA 02081-2954
Phone (508) 668-4555

Hospital & facility affiliations

  • Natick Walpole Visiting Nurse Association Home health agency, Walpole, MA, CCN 227139
  • Mass General Brigham Home Care, Inc Home health agency, Newton, MA, CCN 227207
  • Pathways Healthcare Home health agency, Westwood, MA, CCN 227569
  • Preferred Transitions Home Health Care Inc Home health agency, Milford, MA, CCN 227666
  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073
  • Beth Israel Deaconess Hospital - Needham Hospital, Needham, MA, CCN 220083
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56877MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F Kelliher MD Internal Medicine CurrentSince Aug 1, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

844 Main St
Walpole, MA 02081
Phone (508) 668-4555

Interoperability endpoints

  • Direct secure messaging: robert.kelliher@rfk.eclinicaldirectplus.com

Organizations & group practices 2

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 9

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

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1962495010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812954",
            "telephone_number": "508-668-4555",
            "fax_number": "508-668-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 MAIN STREET",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "02081",
            "telephone_number": "508-668-4555",
            "fax_number": "508-668-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLIHER",
        "first_name": "ROBERT",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "56877",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "56877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013677",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

Verify at the official NPI Registry.