KRISTOPHER KELLY MD
NPI 1316566565
Radiology - Diagnostic Radiology in Boston, MA
- Individual
- Male
- Years of Experience 7
- Radiology
- Diagnostic Radiology
- May Accept Medicare Approved Payment
- PECOS Enrolled
About KRISTOPHER KELLY
This page provides the complete NPI Profile along with additional information for Kristopher Kelly, a provider established in Boston, Massachusetts with a medical specialization in Radiology, focusing in diagnostic radiology and more than 7 years of experience. The healthcare provider is registered in the NPI registry with number 1316566565 assigned on April 2020. The practitioner's primary taxonomy code is 2085R0202X with license number 1016602 (MA). The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1316566565
- Provider Name
- KRISTOPHER KELLY MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 55 FRUIT ST BOSTON, MA 02114
- Location Phone
- (617) 724-0288
- Mailing Address
- 9500 EUCLID AVE CLEVELAND, OH 44195
- Mailing Phone
- (216) 444-2200
- Medical School Name
- OTHER
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-08-2020
- Last Update Date
- 07-17-2026
- Code Navigator
Location Map
Secondary Locations
- 9500 Euclid Ave
Cleveland, OH 44195
(216) 444-2200 - 55 Lake Ave N
Worcester, MA 01655
(508) 334-8015
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1016602
- License State
- MA
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 178836 (FL) |
| 2 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 35.155056 (OH) |
| 3 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | 342803 (NY) |
Medicare Participation & PECOS Enrollment Status
Kristopher Kelly is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Kristopher Kelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2365852738
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250519002118, I20251230001331
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kristopher Kelly is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MASSACHUSETTS GENERAL HOSPITAL | 55 FRUIT STREET BOSTON, MA 02114 | (617) 724-9725 | Acute Care Hospitals | |
| MARTHA'S VINEYARD HOSPITAL INC | ONE HOSPITAL ROAD, FIRST FL, WING 5, PO BOX 1477 OAK BLUFFS, MA 02557 | (508) 693-0410 | Critical Access Hospitals | |
| ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE | 2323 N LAKE DR MILWAUKEE, WI 53211 | (414) 585-1374 | Acute Care Hospitals | |
| ASCENSION ALL SAINTS HOSPITAL | 3801 SPRING ST RACINE, WI 53405 | (262) 687-4011 | Acute Care Hospitals | |
| ASCENSION SE WISCONSIN HOSPITAL | 5000 W CHAMBERS ST MILWAUKEE, WI 53210 | (414) 447-2130 | Acute Care Hospitals |
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1316566565, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316566565, enumerated as an "individual" on April 08, 2020.
The provider is located at 55 FRUIT ST BOSTON, MA 02114 and the phone number is (617) 724-0288.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
Kristopher Kelly is affiliated with: MASSACHUSETTS GENERAL HOSPITAL, MARTHA'S VINEYARD HOSPITAL INC, ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE, ASCENSION ALL SAINTS HOSPITAL and ASCENSION SE WISCONSIN HOSPITAL.
