ROY A. KELLERMAN, MD, LLC
NPI 1336314475
Internal Medicine in Bloomfield, CT

Active since April 29, 2008CLIA 07D0092181 · Waiver
701 COTTAGE GROVE RD STE A110, BLOOMFIELD, CT 06002(860) 243-5569(860) 243-2622 Get Directions Write a Review

NPPES record last updated: August 2, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Roy A. Kellerman, Md, Llc NPPES

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

ROY A. KELLERMAN, MD, LLC (NPI 1336314475) is a healthcare organization registered as an internal medicine in Bloomfield, Connecticut and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Roy A Kellerman, Doctor, as its authorized official.

NPPES Registry Identity

NPI1336314475
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameROY A. KELLERMAN, MD, LLC
Location Address701 COTTAGE GROVE RD STE A110Bloomfield, CT 06002-3082
Mailing Address701 Cottage Grove Rd Ste A110Bloomfield, CT 06002-3082 · (860) 243-5569 · Fax (860) 243-2622
Fax(860) 243-2622
Organization SubpartNo
Authorized OfficialRoy A KellermanDoctor · (860) 243-5569
Enumeration DateApril 29, 2008
Last NPPES UpdateAugust 2, 2010
NPI 1336314475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 23862
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

701 COTTAGE GROVE RD STE A110, Bloomfield, CT 06002

Other Identifiers 5

Other010023862CT05CT · Bc/bs
Medicare PINC02920CT
Other110008097CT · Medicare
Medicare UPINB84326CT
Medicaid001238625CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0092181

Roy Kellerman MD · Bloomfield, CT
Active · expires Aug 31, 2026
CLIA Number07D0092181
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRoy A. Kellerman MD
Laboratory Phone(860) 243-5569
Laboratory LocationRoy Kellerman MD35 Jolley Rd, Suite 201, Bloomfield, CT 06002
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336314475, enumerated as an "organization" on April 29, 2008.

The provider is located at 701 COTTAGE GROVE RD STE A110 BLOOMFIELD, CT 06002 and the phone number is (860) 243-5569.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.