DR. JOHN THOMAS KELLY M.D.
NPI 1164758892
General Practice in Boston, MA

Q: What is John Kelly's NPI number?

The NPI number for John Kelly is 1164758892. It was assigned to this individual provider in the NPPES registry on October 31, 2009.

Q: What is John Kelly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for John Kelly was last updated on March 13, 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.

Active since October 31, 2009

175 BLOSSOM ST UNIT 1407, BOSTON, MA 02114(215) 527-4684 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2023, Jan 21, 2023, Jun 11, 2018 (3 updates tracked since 2018).

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About Dr. John Thomas Kelly M.d. NPPES

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

DR. JOHN THOMAS KELLY M.D. (NPI 1164758892) is an individual general practice provider in Boston, Massachusetts, licensed in Illinois (036-077958) and active in the NPI registry since October 2009. He maintains a secondary practice location in Oak Brook.

NPPES Registry Identity

NPI1164758892

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. JOHN THOMAS KELLYCredential: M.D.

Location Address175 BLOSSOM ST UNIT 1407Boston, MA 02114-2629

Mailing Address175 Blossom St Unit 1407Boston, MA 02114-2629 · (215) 527-4684

Phone(215) 527-4684

Sole ProprietorYes

Enumeration DateOctober 31, 2009

Last NPPES UpdateMarch 13, 20233 updates tracked since enumeration

NPPES CertifiedMarch 13, 2023

✔ NPI 1164758892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IL · 036-077958

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

175 BLOSSOM ST UNIT 1407, Boston, MA 02114

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Secondary Practice Location 1

Location 124 Brighton LnOak Brook, IL 60523-2324 · Phone (215) 527-4684

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 John Kelly's NPI number?

The NPI number for John Kelly is 1164758892. It was assigned to this individual provider in the NPPES registry on October 31, 2009.

Where is John Kelly located?

John Kelly practices at 175 Blossom St Unit 1407, Boston, MA 02114. The listed phone number is (215) 527-4684.

What is John Kelly's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for John Kelly was last updated on March 13, 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.