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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES A KELLY MD
NPI 1083674352
Anesthesiology in Waltham, MA

Active since March 23, 2006PECOS Enrolled
40 SECOND AVE, WALTHAM, MA 02451(617) 726-3030 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles A Kelly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES A KELLY MD (NPI 1083674352) is an individual anesthesiology provider in Waltham, Massachusetts, licensed in Massachusetts (72670) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (1986).

NPPES Registry Identity

NPI1083674352
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameCHARLES A KELLYCredential: MD
Location Address40 SECOND AVEWaltham, MA 02451
Mailing AddressPo Box 9142, Mass General Physician Organization IncCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Phone(617) 726-3030
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1986
Enumeration DateMarch 23, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1083674352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MA · 72670
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
40 SECOND AVE, Waltham, MA 02451
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Other Identifiers 2

Medicaid3060926MA
OtherJ09601MA · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles A Kelly Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062421571
PECOS Enrollment IDI20060411000732
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA ANN STAMPONE N.P. M.S.
Nurse Practitioner (Obstetrics & Gynecology)
40 SECOND AVE
WALTHAM, MA 02451
Middlesex County (781) 487-3860
DEVASENA BALASUBRAMANIAM M.D.
Internal Medicine
40 SECOND AVE, MASS GENERAL WEST
WALTHAM, MA 02451
Middlesex County (781) 487-4350
DR. AUBREY J KATZ MD
Pediatrics (Pediatric Gastroenterology)
40 SECOND AVE, MASS GENERAL WEST
WALTHAM, MA 02451
Middlesex County (781) 466-8967
DR. JEFFREY A BILLER MD
Pediatrics (Pediatric Gastroenterology)
40 SECOND AVE, STE 340 MASS GENERAL WEST
WALTHAM, MA 02451
Middlesex County (781) 466-8988
DR. CHRISTINA GELEV MD
Internal Medicine
40 SECOND AVE, SUITE 400 MASS GENERAL MEDICAL GROUP
WALTHAM, MA 02451
Middlesex County (781) 487-4350
DR. VICTORIA R MCEVOY MD
Pediatrics
40 SECOND AVE, STE 400 MASS GENERAL MEDICAL GROUP WALTHAM
WALTHAM, MA 02451
Middlesex County (781) 522-9000
DR. ARTHUR KING-FAN TONG MBBS
Dermatology
40 SECOND AVE, MASS GENERAL WEST
WALTHAM, MA 02451
Middlesex County (781) 522-9000
DR. STEPHEN TAKEO NISHIYAMA MD
Pediatrics
40 SECOND AVE, STE 400
WALTHAM, MA 02451
Middlesex County (781) 487-4340

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 Charles Kelly's NPI number?

The NPI number for Charles Kelly is 1083674352. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Charles Kelly located?

Charles Kelly practices at 40 Second Ave, Waltham, MA 02451. The listed phone number is (617) 726-3030.

What is Charles Kelly's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Charles Kelly enrolled in Medicare?

Yes. Charles Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Charles Kelly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.