KRISTOPHER KELLY MD
NPI 1316566565
Radiology - Diagnostic Radiology in Boston, MA
About Kristopher Kelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTOPHER KELLY MD (NPI 1316566565) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (1016602) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristopher Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
9Medicare enrollment records show Kristopher Kelly reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Brookline, MA 02446
- Reassigned Medicare billing, Massachusetts enrollment
- 144 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- 738 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Tjh Medical Services PC
- 497 clinicians in this Medicare group
Cleveland, OH 44195
- Reassigned Medicare billing, Florida enrollment
- 19 clinicians in this Medicare group
Wooster, OH 44691
- Reassigned Medicare billing, Florida enrollment
- 18 clinicians in this Medicare group
Mequon, WI 53092
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Premier Radiology Wisconsin LLC
- 237 clinicians in this Medicare group
Alexandria, MN 56308
- Reassigned Medicare billing, Florida and Massachusetts enrollments
- 27 clinicians in this Medicare group
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Massachusetts General Hospital
Acute Care Hospitals · Boston, MAMartha's Vineyard Hospital Inc
Critical Access Hospitals · Oak Bluffs, MAAscension Columbia St Mary's Hospital Milwaukee
Acute Care Hospitals · Milwaukee, WIAscension All Saints Hospital
Acute Care Hospitals · Racine, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Kristopher Kelly's NPI number?
The NPI number for Kristopher Kelly is 1316566565. It was assigned to this individual provider in the NPPES registry on April 8, 2020.
Where is Kristopher Kelly located?
Kristopher Kelly practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-0288.
What is Kristopher Kelly's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kristopher Kelly enrolled in Medicare?
Yes. Kristopher Kelly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kristopher Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Kelly reassigns Medicare benefits to 9 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA), Mass General Brigham Urgent Care LLC (Brookline, MA), Jamaica Hospital (Jamaica, NY), Tjh Medical Services, P.C. (Jamaica, NY) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristopher Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kristopher Kelly affiliated with any hospitals?
According to CMS data, 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.
When was this NPI record last updated?
The NPPES record for Kristopher Kelly was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kristopher Kelly, MD · NPI 1316566565
Diagnostic Radiology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 8, 2020.
## Identity
- **NPI:** 1316566565 (Entity type: Individual)
- **Enumerated:** April 8, 2020
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 1016602 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2621
- **Phone:** (617) 724-0288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA); Mass General Brigham Urgent Care LLC (NPI 1720486830, Brookline, MA); Jamaica Hospital (NPI 1477505220, Jamaica, NY); Tjh Medical Services, P.C. (NPI 1184670465, Jamaica, NY); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316566565) · Data from the CMS NPPES public registry.