SUSAN E KELLY M.D.
NPI 1023044963
Internal Medicine - Gastroenterology in Boston, MA
About Susan E Kelly M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN E KELLY M.D. (NPI 1023044963) is an individual gastroenterology provider in Boston, Massachusetts, licensed in Massachusetts (45873) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susan E Kelly M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Susan Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 1,477 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 2,579 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susan Kelly's NPI number?
The NPI number for Susan Kelly is 1023044963. It was assigned to this individual provider in the NPPES registry on June 23, 2006.
Where is Susan Kelly located?
Susan Kelly practices at 110 Francis St Suite 8E, Boston, MA 02215. The listed phone number is (617) 632-8623.
What is Susan Kelly's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Susan Kelly enrolled in Medicare?
Yes. Susan Kelly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Susan Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kelly reassigns Medicare benefits to 2 organizations: Beth Israel Deaconess Medical Center, Inc. (Boston, MA) and Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Susan Kelly was last updated on April 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Susan E Kelly, M.D. · NPI 1023044963
Gastroenterology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1023044963 (Entity type: Individual)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 45873 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 110 FRANCIS ST, SUITE 8E, Boston, MA 02215-5501
- **Phone:** (617) 632-8623
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Beth Israel Deaconess Medical Center, Inc. (NPI 1548202641, Boston, MA); Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1194765438, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2011
- **Other identifiers:** Medicare UPIN D95066 (MA); Medicare ID-Type Unspecified E05502 (MA); Other 30279 (MA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1023044963) · Data from the CMS NPPES public registry.