RYAN PATRICK KELLY MD
NPI 1306649959
Student in an Organized Health Care Education/Training Program in Worcester, MA
About Ryan Patrick Kelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN PATRICK KELLY MD (NPI 1306649959) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ryan Patrick Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Ryan Kelly's NPI number?
The NPI number for Ryan Kelly is 1306649959. It was assigned to this individual provider in the NPPES registry on March 29, 2025.
Where is Ryan Kelly located?
Ryan Kelly practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.
What is Ryan 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 Ryan Kelly enrolled in Medicare?
Yes. Ryan Kelly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ryan Kelly was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Ryan Patrick Kelly, MD · NPI 1306649959
Student in an Organized Health Care Education/Training Program provider in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since March 29, 2025.
## Identity
- **NPI:** 1306649959 (Entity type: Individual)
- **Enumerated:** March 29, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 334-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306649959) · Data from the CMS NPPES public registry.