COLLEEN ANNE KELLY MD
NPI 1417451980
Pediatrics - Pediatric Hematology-Oncology in Boston, MA
About Colleen Anne Kelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN ANNE KELLY MD (NPI 1417451980) is an individual pediatric hematology-oncology provider in Boston, Massachusetts, licensed in Massachusetts (286987) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Colleen Anne 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.
BOSTON, MA 02215
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 Colleen Kelly's NPI number?
The NPI number for Colleen Kelly is 1417451980. It was assigned to this individual provider in the NPPES registry on March 20, 2018.
Where is Colleen Kelly located?
Colleen Kelly practices at 450 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 632-4794.
What is Colleen Kelly's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.
Is Colleen Kelly enrolled in Medicare?
Yes. Colleen Kelly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Colleen Kelly was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Colleen Anne Kelly, MD · NPI 1417451980
Pediatric Hematology-Oncology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 20, 2018.
## Identity
- **NPI:** 1417451980 (Entity type: Individual)
- **Enumerated:** March 20, 2018
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **State license:** 286987 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 BROOKLINE AVE, Boston, MA 02215-5418
- **Phone:** (617) 632-4794
## 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:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417451980) · Data from the CMS NPPES public registry.