KELLY M TREDER MD
NPI 1235558727
Obstetrics & Gynecology in Boston, MA

Q: What is Kelly Treder's NPI number?

The NPI number for Kelly Treder is 1235558727. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Q: What is Kelly Treder's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Treder was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 10, 2014PECOS EnrolledAccepts Medicare Assignment

850 HARRISON AVE # YACC5, BOSTON, MA 02118(617) 414-2000(617) 414-5798 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2023, Aug 25, 2020 (2 updates tracked since 2020).

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About Kelly M Treder Md NPPES

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

KELLY M TREDER MD (NPI 1235558727) is an individual obstetrics & gynecology provider in Boston, Massachusetts, licensed in Massachusetts (274105) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and maintains a secondary practice location in Dorchester.

NPPES Registry Identity

NPI1235558727

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKELLY M TREDERCredential: MD

Location Address850 HARRISON AVE # YACC5Boston, MA 02118

Mailing Address637 Washington StDorchester, MA 02124-3510 · (617) 825-9660 · Fax (617) 288-7898

Phone(617) 414-2000

Fax(617) 414-5798

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2014

Enumeration DateApril 10, 2014

Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration

NPPES CertifiedDecember 11, 2023

✔ NPI 1235558727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MA · 274105

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

850 HARRISON AVE # YACC5, Boston, MA 02118

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Secondary Practice Location 1

Location 1637 Washington StDorchester, MA 02124-3510 · Phone (617) 825-9660 · Fax (617) 288-7898

Other Identifiers 1

Medicaid110134663AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health, WellSense Health Plan.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

Kelly M Treder 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 ID7719277565

PECOS Enrollment IDI20180628002053

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.

Medicare Billing Reassignments

Medicare enrollment records show Kelly Treder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boston University Obstetrics And Gynecology Foundation, Inc.

0.1 mi

Obstetrics & Gynecology

1 BOSTON MEDICAL CTR PL
Boston, MA 02118

Reassigned Medicare billing, Massachusetts enrollment
158 clinicians in this Medicare group

NPI 1063459568 (617) 414-2000

Codman Square Health Center Inc

3.1 mi

Community Health

637 WASHINGTON ST
Dorchester Center, MA 02124

Reassigned Medicare billing, Massachusetts enrollment
91 clinicians in this Medicare group

NPI 1396808309 (617) 825-9660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220031

Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

MRS. STEPHANIE MARISA MITCHELL CNM

Advanced Practice Midwife