ISCHEL G KELSO MD
NPI 1407433857
Family Medicine in Boston, MA

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1340 BOYLSTON ST, BOSTON, MA 02215(617) 927-6000 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2024, Oct 4, 2024, Jun 22, 2021 and 1 more (4 updates tracked since 2021).

About Ischel G Kelso Md NPPES

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

ISCHEL G KELSO MD (NPI 1407433857) is an individual family medicine provider in Boston, Massachusetts, licensed in Illinois (036176138) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and maintains a secondary practice location in Geneva.

NPPES Registry Identity

NPI1407433857
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameISCHEL G KELSOCredential: MD
Location Address1340 BOYLSTON STBoston, MA 02215-4302
Mailing Address1340 Boylston StBoston, MA 02215-4302 · (617) 927-6000
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateJuly 22, 20254 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1407433857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036176138✔ Licensed in IL · 125077753✔ Licensed in MA · 1019704
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1340 BOYLSTON ST, Boston, MA 02215

Other Names 1

Professional Name (2)Ischel Gonzalez-kelso

Secondary Practice Location 1

Location 1298 Randall RdGeneva, IL 60134-4203 · Phone (630) 938-3300 · Fax (630) 938-3310

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

Ischel G Kelso 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 ID8325449267
PECOS Enrollment IDI20250730003749
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

2

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

Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 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 3

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

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140286
LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
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 20

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1340 BOYLSTON ST
BOSTON, MA 02215
Family Medicine
1340 BOYLSTON ST
BOSTON, MA 02215
Dentist
1340 BOYLSTON ST
BOSTON, MA 02215
Family Medicine
1340 BOYLSTON ST
BOSTON, MA 02215
Dentist
1340 BOYLSTON ST
BOSTON, MA 02215
Social Worker (Clinical)
1340 BOYLSTON ST
BOSTON, MA 02215
Social Worker (Clinical)
1340 BOYLSTON ST
BOSTON, MA 02215
Nurse Practitioner
1340 BOYLSTON ST
BOSTON, MA 02215

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 Ischel Kelso's NPI number?

The NPI number for Ischel Kelso is 1407433857. It was assigned to this individual provider in the NPPES registry on March 24, 2021. The provider is also known as Ischel Gonzalez-Kelso.

Where is Ischel Kelso located?

Ischel Kelso practices at 1340 Boylston St, Boston, MA 02215. The listed phone number is (617) 927-6000.

What is Ischel Kelso's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ischel Kelso enrolled in Medicare?

Yes. Ischel Kelso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ischel Kelso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ischel Kelso reassigns Medicare benefits to 2 organizations: Central Dupage Physician Group (Carol Stream, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). 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 Ischel Kelso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ischel Kelso affiliated with any hospitals?

According to CMS data, Ischel Kelso is affiliated with Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Medicine Kishwaukee Hospital.

When was this NPI record last updated?

The NPPES record for Ischel Kelso was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.