IAN M KELLY MD
NPI 1144922352
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 21, 2023PECOS EnrolledAccepts Medicare Assignment
330 BROOKLINE AVE, BOSTON, MA 02215(617) 667-7000 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ian M Kelly Md NPPES

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

IAN M KELLY MD (NPI 1144922352) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Massachusetts Medical School (2023).

NPPES Registry Identity

NPI1144922352
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameIAN M KELLYCredential: MD
Location Address330 BROOKLINE AVEBoston, MA 02215-5491
Mailing Address330 Brookline AveBoston, MA 02215-5491 · (617) 667-7000
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2023
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
NPI 1144922352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
330 BROOKLINE AVE, Boston, MA 02215

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

Ian M 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 ID5193294239
PECOS Enrollment IDI20260518002894
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 20

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

Chronic Disease Hospital (Children)
330 BROOKLINE AVE
BOSTON, MA 02215
Internal Medicine
330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215
Dermatology
330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215
Anesthesiology
330 BROOKLINE AVE
BOSTON, MA 02215
Psychologist (Clinical)
330 BROOKLINE AVE
BOSTON, MA 02215
Hospitalist
330 BROOKLINE AVE
BOSTON, MA 02215
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE
BOSTON, MA 02215
Emergency Medicine
330 BROOKLINE AVE
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 Ian Kelly's NPI number?

The NPI number for Ian Kelly is 1144922352. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Ian Kelly located?

Ian Kelly practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 667-7000.

What is Ian Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ian Kelly enrolled in Medicare?

Yes. Ian 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 Ian Kelly was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.