DR. KELLEY ANNE WITTBOLD M.D.
NPI 1093102824
Emergency Medicine in Boston, MA
About Dr. Kelley Anne Wittbold M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLEY ANNE WITTBOLD M.D. (NPI 1093102824) is an individual emergency medicine provider in Boston, Massachusetts, licensed in Massachusetts (273256) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kelley Anne Wittbold M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kelley Wittbold reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Salem, MA 01970
- Reassigned Medicare billing, Massachusetts enrollment
- 994 clinicians in this Medicare group
Newburyport, MA 01950
- Reassigned Medicare billing, Massachusetts enrollment
- 81 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Anna Jaques Hospital
Acute Care Hospitals · Newburyport, MANorth Shore Medical Center -
Acute Care Hospitals · Salem, MAMassachusetts Eye And Ear Infirmary -
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 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 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Kelley Wittbold's NPI number?
The NPI number for Kelley Wittbold is 1093102824. It was assigned to this individual provider in the NPPES registry on April 20, 2015.
Where is Kelley Wittbold located?
Kelley Wittbold practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-4100.
What is Kelley Wittbold's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kelley Wittbold enrolled in Medicare?
Yes. Kelley Wittbold 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.
Which organizations bill Medicare for Kelley Wittbold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Wittbold reassigns Medicare benefits to 4 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA), Mass General Brigham Medical Group Northern Massachusetts Inc (Salem, MA) and Newburyport Emergency Physicians, PLLC (Newburyport, 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 Kelley Wittbold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Wittbold accept?
Health plans from Taro Health and WellSense Health Plan list Kelley Wittbold as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Kelley Wittbold affiliated with any hospitals?
According to CMS data, Kelley Wittbold is affiliated with Anna Jaques Hospital, North Shore Medical Center - and Massachusetts Eye And Ear Infirmary -.
When was this NPI record last updated?
The NPPES record for Kelley Wittbold was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Kelley Anne Wittbold, M.D. · NPI 1093102824
Emergency Medicine physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 20, 2015.
## Identity
- **NPI:** 1093102824 (Entity type: Individual)
- **Enumerated:** April 20, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 273256 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2621
- **Phone:** (617) 724-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA); Mass General Brigham Medical Group Northern Massachusetts Inc (NPI 1588606123, Salem, MA); Newburyport Emergency Physicians, PLLC (NPI 1215724364, Newburyport, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1093102824) · Data from the CMS NPPES public registry.