MARY KELLEHER M.D.
NPI 1104875491
Family Medicine in Reading, PA

Active since May 06, 2006PECOS Enrolled
838 PENN ST, READING, PA 19602(610) 988-4838 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Kelleher M.d. NPPES

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

MARY KELLEHER M.D. (NPI 1104875491) is an individual family medicine provider in Reading, Pennsylvania, licensed in Pennsylvania (MD419172) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104875491
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY KELLEHERCredential: M.D.
Location Address838 PENN STReading, PA 19602-1108
Mailing Address838 Penn StReading, PA 19602-1108 · (610) 988-4838 · Fax (610) 288-4515
Sole ProprietorNo
Enumeration DateMay 6, 2006
Last NPPES UpdateOctober 19, 2012
NPI 1104875491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD419172
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
838 PENN ST, Reading, PA 19602

Other Identifiers 2

Medicaid000196925PA
Medicare PIN070038PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mary Kelleher M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers37 claims70 services$5.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims17 services$1.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$4.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
838 PENN ST
READING, PA 19602
Pharmacy (Community/Retail Pharmacy)
838 PENN ST
READING, PA 19602
Nurse Practitioner (Family)
838 PENN ST
READING, PA 19602
Internal Medicine
838 PENN ST
READING, PA 19602
Psychiatry & Neurology (Psychiatry)
838 PENN ST
READING, PA 19602
Optometrist
838 PENN ST
READING, PA 19602
Family Medicine
838 PENN ST
READING, PA 19602
Social Worker (Clinical)
838 PENN ST
READING, PA 19602

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 Mary Kelleher's NPI number?

The NPI number for Mary Kelleher is 1104875491. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Mary Kelleher located?

Mary Kelleher practices at 838 Penn St, Reading, PA 19602. The listed phone number is (610) 988-4838.

What is Mary Kelleher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Kelleher enrolled in Medicare?

Yes. Mary Kelleher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Kelleher was last updated on October 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.